Organization Active NPI

Lim Chiropractic Professional Corporation

  • Chiropractor
  • Escondido, CA
National Provider Identifier
1811245905
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC16695 Issued in CA
Legal business name
LIM CHIROPRACTIC PROFESSIONAL CORPORATION
Practice address
205 W Mission Ave
Suite P
Escondido, CA 92025-1733
Phone
(760) 480-0077
Fax
(760) 480-0379
NPI assigned
Aug 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

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

Authorized official

Name
Dr. Hoon Lim, D.C.NPI 1043356330
Title
President
Phone
(760) 480-0077

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC16695 CA Primary

Addresses

Primary practice location

205 W Mission Ave
Suite P
Escondido, CA 92025-1733

Mailing address

205 W Mission Ave
Suite P
Escondido, CA 92025-1733
Phone (760) 480-0077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120911000744 CA Part B Supplier - Clinic/Group Practice 8426206731 Receives reassigned benefits from 1 practitioner
Practice locations: Escondido, CA

National Provider Directory

National Provider Directory

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": "1345507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1811245905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W MISSION AVE",
            "address_2": "SUITE P",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920251733",
            "telephone_number": "760-480-0077",
            "fax_number": "760-480-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W MISSION AVE",
            "address_2": "SUITE P",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920251733",
            "telephone_number": "760-480-0077",
            "fax_number": "760-480-0379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIM CHIROPRACTIC PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-21",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "HOON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-480-0077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC16695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.