Individual provider Active NPI

Chang Lim Kim, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Margate, FL
National Provider Identifier
1710962105
Registry record updated May 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME20758 Issued in FL
Practice address
8056 W Sample Rd
Margate, FL 33065-4714
Phone
(954) 752-5959
Fax
(954) 752-8062
NPI assigned
Dec 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME20758 FL Primary

Addresses

Primary practice location

8056 W Sample Rd
Margate, FL 33065-4714

Mailing address

8056 W Sample Rd
Margate, FL 33065-4714
Phone (954) 752-5959

Other identifiers 2

IdentifierTypeStateIssuer
057873800MedicaidFL
ME20758OtherFLMEDICAL PRACTICE

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Roger Dawkins MD PA CurrentSince Jun 6, 2023 Accepting new patients

Locations

8056 W Sample Rd
Margate, FL 33065
Phone (954) 752-5959

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400803200000",
    "number": "1710962105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8056 W SAMPLE RD",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330654714",
            "telephone_number": "954-752-5959",
            "fax_number": "954-752-8062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8056 W SAMPLE RD",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330654714",
            "telephone_number": "954-752-5959",
            "fax_number": "954-752-8062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "CHANG LIM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2014-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME20758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057873800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PRACTICE",
            "identifier": "ME20758",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Margate, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2014; 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.