Active NPI
Peter Lim, DDS
- General Practice Dentistry
- Royersford, PA
National Provider Identifier
1639583503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS042588
- Practice address
- 330 Main St Ste a
Royersford, PA 19468-2313 - Phone
- (484) 228-1064
- Fax
- (484) 310-7660
- NPI assigned
- Jun 18, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS042588 | PA | Primary |
Addresses
Primary practice location
330 Main St Ste a
Royersford, PA 19468-2313
Mailing address
425 Park Dr
Plymouth Meeting, PA 19462-2523
Phone (609) 338-3855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS042588 | PA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592870400000",
"number": "1639583503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 PARK DR",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194622523",
"telephone_number": "609-338-3855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 MAIN ST STE A",
"city": "ROYERSFORD",
"state": "PA",
"postal_code": "194682313",
"telephone_number": "484-228-1064",
"fax_number": "484-310-7660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIM",
"first_name": "PETER",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-18",
"last_updated": "2020-06-23",
"certification_date": "2020-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS042588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Royersford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.