NPIMap

Organization Active NPI

Bae Lim Dental Corporation

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1659820637
Registry record updated Oct 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BAE LIM DENTAL CORPORATION
Practice address
3631 W 3Rd St
Los Angeles, CA 90020-2007
Phone
(310) 386-1799
NPI assigned
Oct 1, 2016
Last updated
Oct 1, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
BAE LIM DENTAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 1, 2016

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

Authorized official

Name
Daniel Lim, DDSNPI 1275833204
Title
Owner
Phone
(213) 251-1059

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

3631 W 3Rd St
Los Angeles, CA 90020-2007

Mailing address

3631 W 3Rd St
Los Angeles, CA 90020-2007
Phone (310) 386-1799

Other identifiers 2

IdentifierTypeStateIssuer
1982772240MedicaidCA
1275833204MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Bae Lim Dental Corporation2 organizations share this tax ID, including this one
Part of
Bae Lim Dental Corporation

Other organizations with this tax ID 1

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

Locations

3631 W 3rd St
Los Angeles, CA 90020
Phone (213) 251-1059

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1475280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475280000000",
    "number": "1659820637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3631 W 3RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900202007",
            "telephone_number": "310-386-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3631 W 3RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900202007",
            "telephone_number": "310-386-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAE LIM DENTAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAE LIM DENTAL CORPORATION",
        "enumeration_date": "2016-10-01",
        "last_updated": "2016-10-01",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-251-1059",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982772240",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275833204",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2016; 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.