NPIMap

Organization Active NPI

Lim & Li Dental Corporation

  • Endodontics
  • Palmdale, CA
National Provider Identifier
1972770600
Registry record updated Jul 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
48499 Issued in CA
Legal business name
LIM & LI DENTAL CORPORATION
Practice address
41250 12TH St W
Suite a
Palmdale, CA 93551-1444
Phone
(661) 267-0617
Fax
(661) 267-0621
NPI assigned
May 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2009

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

Authorized official

Name
Dr. Jung Lim, D.D.S.NPI 1750557054
Title
Owner
Phone
(661) 267-0617

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 48499 CA Primary

Addresses

Primary practice location

41250 12TH St W
Suite a
Palmdale, CA 93551-1444

Mailing address

41250 12TH St W
Suite a
Palmdale, CA 93551-1444
Phone (661) 267-0617

Other names 1

  • Synergy Endodontics Doing business as

National Provider Directory

National Provider Directory

Locations

41250 12th St W
Ste A
Palmdale, CA 93551
Phone (661) 267-0617

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248307200000",
    "number": "1972770600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41250 12TH ST W",
            "address_2": "SUITE A",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935511444",
            "telephone_number": "661-267-0617",
            "fax_number": "661-267-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41250 12TH ST W",
            "address_2": "SUITE A",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935511444",
            "telephone_number": "661-267-0617",
            "fax_number": "661-267-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIM & LI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2009-07-23",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "JUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-267-0617",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "48499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; 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.