Jose Dennis Lim, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

01044250A Issued in IN

Practice address

1901 W Western Ave
#B
South Bend, IN 46619-3521

Phone

(574) 234-9033

Fax

(574) 234-9059

NPI assigned

Sep 2, 2005

Sex

Male

Sole proprietor

Yes

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)

Enrolled

Credentials

Doctor of Medicine

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.

• Indiana Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Indianapolis, IN
  • NPI 1942303086
  NPD (past)

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232496000000",
    "number": "1821082090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69925 CASSOPOLIS RD",
            "city": "EDWARDSBURG",
            "state": "MI",
            "postal_code": "491129210",
            "telephone_number": "574-339-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 W WESTERN AVE",
            "address_2": "#B",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466193521",
            "telephone_number": "574-234-9033",
            "fax_number": "574-234-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "JOSE",
        "middle_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2009-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "01044250A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200074220",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lifetime Dental Careof Indiana, PC (South Bend Family Dental Care)
• Tera Lighthall
• Teri Lighthall
• Maia Ligocki, RBT
• Lily Shroyer LCSW LLC
• Fernanda Lima Franca Piersanti, LSW
• Jennifer Linarello, LCSW
• Lincare Inc.
• Lincoln Counseling, PC (Lincoln Therapeutic Partnership)
• Lindborg Dental Practice

• General Practice Physician in South Bend, IN
• Providers in South Bend, IN by specialty
• General Practice Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.