NPIMap

Organization Active NPI

Vincent Lim, DDS, Inc

  • Dentist
  • El Sobrante, CA
National Provider Identifier
1720291388
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
52638 Issued in CA
Legal business name
VINCENT LIM, DDS, INC
Practice address
4300 San Pablo Dam Rd
El Sobrante, CA 94803-3002
Phone
(510) 222-2442
Fax
(510) 223-1059
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Vincent Patrick Lim, DDS
Title
President
Phone
(510) 222-2442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 52638 CA Primary

Addresses

Primary practice location

4300 San Pablo Dam Rd
El Sobrante, CA 94803-3002

Mailing address

4300 San Pablo Dam Rd
El Sobrante, CA 94803-3002
Phone (510) 222-2442

Other names 1

  • Vincent Patrick Lim, DDS Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Crossroads Dental Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

4300 San Pablo Dam Rd
El Sobrante, CA 94803
Phone (510) 222-2442

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720291388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 SAN PABLO DAM RD",
            "city": "EL SOBRANTE",
            "state": "CA",
            "postal_code": "948033002",
            "telephone_number": "510-222-2442",
            "fax_number": "510-223-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 SAN PABLO DAM RD",
            "city": "EL SOBRANTE",
            "state": "CA",
            "postal_code": "948033002",
            "telephone_number": "510-222-2442",
            "fax_number": "510-223-1059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT LIM, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-222-2442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "52638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vincent Patrick Lim, DDS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in El Sobrante, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.