Individual provider Active NPI

Roger Sherman Lim, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Sherman Oaks, CA
National Provider Identifier
1962543108
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
45487 Issued in CA
Practice address
13308 Moorpark St
Sherman Oaks, CA 91423-3918
Phone
(818) 783-4565
NPI assigned
Feb 9, 2007
Last updated
Dec 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 45487 CA Primary

Addresses

Primary practice location

13308 Moorpark St
Sherman Oaks, CA 91423-3918

Mailing address

13308 Moorpark St
Sherman Oaks, CA 91423-3918
Phone (818) 783-4565

Other identifiers 1

IdentifierTypeStateIssuer
D45487OtherCARENDERING PROVIDER #

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
45487CAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Roger S Lim DDS Ms Inc. Orthodontics and Dentofacial Orthopedics CurrentSince Dec 8, 2024 Accepting new patients

Locations

13308 Moorpark St
Sherman Oaks, CA 91423
Phone (818) 783-4565

13320 Riverside Dr
Ste 218
Sherman Oaks, CA 91423
Phone (818) 783-4565

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1962543108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13308 MOORPARK ST",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914233918",
            "telephone_number": "818-783-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13308 MOORPARK ST",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914233918",
            "telephone_number": "818-783-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "ROGER",
        "middle_name": "SHERMAN",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "45487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RENDERING PROVIDER #",
            "identifier": "D45487",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.