NPIMap

Organization Active NPI

Vincent Lim, DDS, Inc

Doing business as Crossroads Dental Care

  • Dentist
  • Vallejo, CA
National Provider Identifier
1588870695
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
52638 Issued in CA
Legal business name
VINCENT LIM, DDS, INC
Doing business as
Crossroads Dental Care
Practice address
41 Admiral Callaghan LN
Suite E
Vallejo, CA 94591-4000
Phone
(707) 552-3816
Fax
(707) 552-3847
NPI assigned
May 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Vincent Patrick Lim, DDSNPI 1982822045
Title
President
Phone
(707) 552-3816

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 52638 CA Primary

Addresses

Primary practice location

41 Admiral Callaghan LN
Suite E
Vallejo, CA 94591-4000

Mailing address

41 Admiral Callaghan LN
Suite E
Vallejo, CA 94591-4000
Phone (707) 552-3816

Other names 1

  • Crossroads Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Crossroads Dental Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

41 Admiral Callaghan Ln
Ste E
Vallejo, CA 94591
Phone (707) 552-3816

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588870695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 ADMIRAL CALLAGHAN LN",
            "address_2": "SUITE E",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945914000",
            "telephone_number": "707-552-3816",
            "fax_number": "707-552-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 ADMIRAL CALLAGHAN LN",
            "address_2": "SUITE E",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945914000",
            "telephone_number": "707-552-3816",
            "fax_number": "707-552-3847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT LIM, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-552-3816",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "52638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.