Active NPI
Richard S Lim, DDS
- Dentist
- Yucaipa, CA
National Provider Identifier
1962842575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 62480
- Practice address
- 11834 Bryant St Ste 102
Yucaipa, CA 92399-3848 - Phone
- (909) 079-7809
- Fax
- (909) 797-8090
- NPI assigned
- Jun 27, 2013
- Last updated
- Jun 11, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 62480 | CA | Primary |
Addresses
Primary practice location
11834 Bryant St Ste 102
Yucaipa, CA 92399-3848
Mailing address
11834 Bryant St Ste 102
Yucaipa, CA 92399-3848
Phone (909) 797-8090
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
| License | State | Type | Specialty |
|---|---|---|---|
| 62480 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard S. Lim, DDS, Inc. | Dentist | Past | Accepting new patients |
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": "1372291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1962842575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11834 BRYANT ST STE 102",
"city": "YUCAIPA",
"state": "CA",
"postal_code": "923993848",
"telephone_number": "909-797-8090",
"fax_number": "909-797-8090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11834 BRYANT ST STE 102",
"city": "YUCAIPA",
"state": "CA",
"postal_code": "923993848",
"telephone_number": "909-079-7809",
"fax_number": "909-797-8090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIM",
"first_name": "RICHARD",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-27",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "62480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yucaipa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.