Individual provider Active NPI

Soy Muoy Lim, DDS

  • General Practice Dentistry
  • Long Beach, CA
National Provider Identifier
1942430749
Registry record updated Jul 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
58458 Issued in CA
Practice address
2041 Charlemagne Ave
Long Beach, CA 90815-2928
Phone
(562) 301-7998
NPI assigned
Jul 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 58458 CA Primary

Addresses

Primary practice location

2041 Charlemagne Ave
Long Beach, CA 90815-2928

Mailing address

2041 Charlemagne Ave
Long Beach, CA 90815-2928
Phone (562) 301-7998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160808000692 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2668766015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: soymuoy.limdds.p1@direct.chsica.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247616000000",
    "number": "1942430749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 CHARLEMAGNE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908152928",
            "telephone_number": "562-301-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 CHARLEMAGNE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908152928",
            "telephone_number": "562-301-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "SOY",
        "middle_name": "MUOY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-15",
        "last_updated": "2009-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.