Individual provider Active NPI

Albert Whasik Lim, DDS

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1720144082
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23070 Issued in CA
Practice address
1211 N Vermont Ave
Suite 102
Los Angeles, CA 90029-1748
Phone
(323) 666-7562
Fax
(323) 666-7564
NPI assigned
Dec 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

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 23070 CA Primary

Addresses

Primary practice location

1211 N Vermont Ave
Suite 102
Los Angeles, CA 90029-1748

Mailing address

1211 N Vermont Ave
Suite 102
Los Angeles, CA 90029-1748
Phone (323) 666-7562

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

LicenseStateTypeSpecialty
23070CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lim Dental Corporation General Practice Past Accepting new patients

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": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225238400000",
    "number": "1720144082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 N VERMONT AVE",
            "address_2": "SUITE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291748",
            "telephone_number": "323-666-7562",
            "fax_number": "323-666-7564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 N VERMONT AVE",
            "address_2": "SUITE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291748",
            "telephone_number": "323-666-7562",
            "fax_number": "323-666-7564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "ALBERT",
        "middle_name": "WHASIK",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2008-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "23070",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 29, 2008; 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.