Lynette Lim, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

00204248 Issued in CO

Practice address

550 Thornton Pkwy Unit 240a
Thornton, CO 80229-2172

Phone

(303) 280-8878

NPI assigned

Feb 18, 2020

Last updated

Apr 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Joanne Bancroft DDS PC

  dba JB Dental

  • General Practice Dentistry
  • Westminster, CO
  • NPI 1255212395
  NPD
• Thornton Youth Dentistry, PC

  • General Practice Dentistry
  • Thornton, CO
  • NPI 1407947716
  NPD (past)

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1780217745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6885 W 91ST CT APT 22307",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800214893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 THORNTON PKWY UNIT 240A",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802292172",
            "telephone_number": "303-280-8878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Wheeling St",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800457211",
            "country_code": "US",
            "telephone_number": "720-723-6158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIM",
        "first_name": "LYNETTE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-18",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00204248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000188797",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcy Lee Libeer, MA, NCC, LPC
• Susan Libra
• Life4Mat LLC
• Light of Victory Assisted Living
• Lil' Chatterbox, LLC.
• Sarah B Lind
• Kendall Lindhorst, DPT
• Emily Lindley, LPC, CSAYC
• Laura L Lipich
• Lit'L Patch of Heaven

• Dentist in Thornton, CO
• Providers in Thornton, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.