Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. ETHAN LIM DDS
NPI 1386433118
Dentist - General Practice in Lakewood, CO

Active since May 06, 2025PECOS Enrolled
2535 S LEWIS WAY STE 105, LAKEWOOD, CO 80227(303) 936-5644 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 7, 2026, May 6, 2025 (2 updates tracked since 2025).

About Dr. Ethan Lim Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ETHAN LIM DDS (NPI 1386433118) is an individual general practice provider in Lakewood, Colorado, licensed in Colorado (DEN.00206620) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS and maintains a secondary practice location in Wheat Ridge.

NPPES Registry Identity

NPI1386433118
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ETHAN LIMCredential: DDS
Location Address2535 S LEWIS WAY STE 105Lakewood, CO 80227-6558
Mailing Address2535 S Lewis Way Ste 105Lakewood, CO 80227-6558 · (330) 489-1000
Sole ProprietorYes
Enumeration DateMay 6, 2025
Last NPPES UpdateJuly 7, 20262 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
NPI 1386433118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CO · DEN.00206620
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2535 S LEWIS WAY STE 105, Lakewood, CO 80227

Secondary Practice Location 1

Location 16525 W 44th AveWheat Ridge, CO 80033-4735 · Phone (303) 421-8753

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Ethan Lim Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80227 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
2535 S LEWIS WAY STE 105
LAKEWOOD, CO 80227

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386433118, enumerated as an "individual" on May 06, 2025.

The provider is located at 2535 S LEWIS WAY STE 105 LAKEWOOD, CO 80227 and the phone number is (303) 936-5644.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.