Individual provider Active NPI

Juwon Lim, D.D.S.

  • General Practice Dentistry
  • San Francisco, CA
National Provider Identifier
1669801528
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
63084 Issued in CA
Practice address
2576 Washington St Apt 2
San Francisco, CA 94115-1823
Phone
(916) 284-7479
NPI assigned
Nov 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 63084 CA Primary

Addresses

Primary practice location

2576 Washington St Apt 2
San Francisco, CA 94115-1823

Mailing address

2576 Washington St Apt 2
San Francisco, CA 94115-1823
Phone (916) 284-7479

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150923000932 CA Order and Referring Only - DentistPractitioner - Dentist 1557678562

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
63084CAMDMarriage & Family Therapist

Interoperability endpoints

  • Direct secure messaging: julim@direct.westerndental.com

NPI Registry JSON

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383868800000",
    "number": "1669801528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2576 WASHINGTON ST APT 2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941151823",
            "telephone_number": "916-284-7479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2576 WASHINGTON ST APT 2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941151823",
            "telephone_number": "916-284-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "JUWON",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-01",
        "last_updated": "2013-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.