Individual provider Active NPI

Xin En Andrew Lim, DDS

  • Prosthodontics
  • Dallas, TX
National Provider Identifier
1881411262
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
40967 Issued in TX
Practice address
5120 W Lovers LN
Dallas, TX 75209-3332
Phone
(214) 956-9100
Fax
(214) 956-9169
NPI assigned
Sep 25, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 40967 TX Primary

Addresses

Primary practice location

5120 W Lovers LN
Dallas, TX 75209-3332

Mailing address

5120 W Lovers LN
Dallas, TX 75209-3332
Phone (214) 956-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
40967TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
David D McFadden, DMD PA Prosthodontics CurrentSince Sep 29, 2024 Accepting new patients
Texas Dental Sleep Services, PLLC PastSince Sep 29, 2024 Accepting new patients

Locations

5120 W Lovers Ln
Dallas, TX 75209
Phone (214) 956-9100

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1881411262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 W LOVERS LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752093332",
            "telephone_number": "214-956-9100",
            "fax_number": "214-956-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 W LOVERS LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752093332",
            "telephone_number": "214-956-9100",
            "fax_number": "214-956-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "XIN EN ANDREW",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "40967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.