Dr. Peter G. Lim, D.D.S., P.L.L.C.

Primary specialty

DentistTaxonomy code 122300000X

License

NC-8116 Issued in NC

Legal business name

DR. PETER G. LIM, D.D.S., P.L.L.C.

Practice address

4050 Wake Forest Rd
Raleigh, NC 29609-6860

Phone

(919) 954-2273

Fax

(919) 521-5499

NPI assigned

Nov 19, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Peter Gene Lim, D.D.S.NPI 1639260821

Title

General Dentist

Phone

(919) 954-2273

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Comprehensive Dentistry Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter Gene Lim, D.D.S.

  • General Practice Dentistry
  • Raleigh, NC
  • NPI 1639260821
  NPD (past) Authorized official

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1598093205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 WAKE FOREST RD",
            "address_2": "P.O. BOX 18008",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276198008",
            "telephone_number": "919-954-2273",
            "fax_number": "919-521-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 WAKE FOREST RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "296096860",
            "telephone_number": "919-954-2273",
            "fax_number": "919-521-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PETER G. LIM, D.D.S., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "919-954-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "NC-8116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5907764",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1639260821",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Dentist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.