Organization Active NPI

J.Lim Dental Corporation

  • General Practice Dentistry
  • Poway, CA
National Provider Identifier
1801192208
Registry record updated Feb 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30384 Issued in CA
Legal business name
J.LIM DENTAL CORPORATION
Practice address
13569 Poway Rd
Poway, CA 92064-4715
Phone
(858) 486-3300
Fax
(858) 486-5300
NPI assigned
Feb 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2011

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

Authorized official

Name
Jhang H. Lim, D.D.S.
Title
President
Phone
(858) 486-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 30384 CA Primary

Addresses

Primary practice location

13569 Poway Rd
Poway, CA 92064-4715

Mailing address

13569 Poway Rd
Poway, CA 92064-4715
Phone (858) 486-3300

Other names 1

  • Poway Coast Dental Doing business as

National Provider Directory

National Provider Directory

Locations

13569 Poway Rd
Poway, CA 92064
Phone (858) 486-3300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1801192208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13569 POWAY RD",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920644715",
            "telephone_number": "858-486-3300",
            "fax_number": "858-486-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13569 POWAY RD",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920644715",
            "telephone_number": "858-486-3300",
            "fax_number": "858-486-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.LIM DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-02",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "JHANG",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-486-3300",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "30384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Poway Coast Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poway, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; 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.