Active NPI
Catherine S Lim, D.M.D.
- General Practice Dentistry
- Hartford, CT
National Provider Identifier
1790044634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10744
- Practice address
- 272 Franklin Ave
Hartford, CT 06114-1848 - Phone
- (860) 296-5437
- Fax
- (860) 296-5454
- NPI assigned
- May 13, 2012
- 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 | 10744 | CT | Primary |
Addresses
Primary practice location
272 Franklin Ave
Hartford, CT 06114-1848
Mailing address
16 Arcade Unit 198747
Nashville, TN 37219-1994
Phone (615) 750-0343
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008041894 | Medicaid | CT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10744 | CT | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370304000000",
"number": "1790044634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 ARCADE UNIT 198747",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372191994",
"telephone_number": "615-750-0343",
"fax_number": "615-986-1705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "272 FRANKLIN AVE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061141848",
"telephone_number": "860-296-5437",
"fax_number": "860-296-5454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIM",
"first_name": "CATHERINE",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-13",
"last_updated": "2013-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "10744",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008041894",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.