Kwang Min Lim DMD a Professional Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KWANG MIN LIM DMD A PROFESSIONAL CORPORATION

Practice address

2020 Coffee Rd Ste G2
Modesto, CA 95355-2421

Phone

(909) 312-9790

NPI assigned

Jul 26, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Kwang Min Lim, DMDNPI 1699261495

Title

Ceo

Phone

(909) 312-9790

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kwang Min Lim, DMD

  • General Practice Dentistry
  • Modesto, CA
  • NPI 1699261495
  NPD Authorized official

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1801624135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4608 OLD MILL CT",
            "city": "SALIDA",
            "state": "CA",
            "postal_code": "953688015",
            "telephone_number": "909-312-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 COFFEE RD STE G2",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552421",
            "telephone_number": "909-312-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KWANG MIN LIM DMD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "KWANG MIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-312-9790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorge Kurek, M.D.
• Anjol Kurian
• Abigail Marie Kurtz, PHARM.D.
• Brian Kurtz, MD
• Durga Kurupath
• Grace Y Kwon-Hong
• Jin Sang Kwon, DDS
• Daniel Kwong, DMD
• Evelyn Kwong, PHARMD
• Sara J Kwong, MD

• Dental Clinic/Center in Modesto, CA
• Providers in Modesto, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.