Organization Active NPI

Alexander Lim DDS Inc

Doing business as Antioch Dental Specialty

  • Dentist
  • Antioch, CA
National Provider Identifier
1851825921
Registry record updated Apr 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
50306 Issued in CA
Legal business name
ALEXANDER LIM DDS INC
Doing business as
Antioch Dental Specialty
Practice address
5171 Lone Tree Way
Antioch, CA 94531
Phone
(925) 755-0111
NPI assigned
Apr 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2017

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

Authorized official

Name
Dr. Alexander Lim
Title
Ownder
Phone
(925) 755-0111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 50306 CA Primary

Addresses

Primary practice location

5171 Lone Tree Way
Antioch, CA 94531

Mailing address

5171 Lone Tree Way
Antioch, CA 94531-8689

Other names 1

  • Antioch Dental Specialty Doing business as

National Provider Directory

National Provider Directory

Locations

5171 Lone Tree Way
Antioch, CA 94531
Phone (650) 400-3761

NPI Registry JSON

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492387200000",
    "number": "1851825921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5171 LONE TREE WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945318689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5171 LONE TREE WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "94531",
            "telephone_number": "925-755-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER LIM DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-17",
        "last_updated": "2017-04-17",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNDER",
        "authorized_official_telephone_number": "925-755-0111",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "50306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Antioch Dental Specialty",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; 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.