Active NPI
Juwon Lim, D.D.S.
- General Practice Dentistry
- San Francisco, CA
National Provider Identifier
1669801528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 63084
- 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
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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150923000932 | CA | Order and Referring Only - Dentist | 1557678562 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63084 | CA | MD | Marriage & Family Therapist |
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.