PETERSON LIM D.D.S.
NPI 1578964110
Dentist - General Practice in Milpitas, CA

Q: What is Peterson Lim's NPI number?

The NPI number for Peterson Lim is 1578964110. It was assigned to this individual provider in the NPPES registry on September 15, 2014.

Q: What is Peterson Lim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Peterson Lim was last updated on September 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 15, 2014PECOS Enrolled

371 JACKLIN RD, MILPITAS, CA 95035(408) 263-2252 Get Directions Write a Review

NPPES record last updated: September 15, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Peterson Lim D.d.s. NPPES

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

PETERSON LIM D.D.S. (NPI 1578964110) is an individual general practice provider in Milpitas, California, licensed in California (63828) and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1578964110

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NamePETERSON LIMCredential: D.D.S.

Location Address371 JACKLIN RDMilpitas, CA 95035-3225

Mailing Address750 N King Rd Apt 508San Jose, CA 95133-1555

Phone(408) 263-2252

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateSeptember 15, 2014

✔ NPI 1578964110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 63828

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.

371 JACKLIN RD, Milpitas, CA 95035

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peterson Lim D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597239608

PECOS Enrollment IDI20260630002131

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 95035 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

$106.47 typical visit price

range $70.37 – $206.04

Typical copayment $26.61 (range $17.59 – $51.51)

Most-billed visit code 99203

Established Patient

$86.56 typical visit price

range $23.96 – $169.60

Typical copayment $21.64 (range $5.99 – $42.40)

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 4

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

NEHA ROY DMD

Dentist (General Practice)

371 JACKLIN RD
MILPITAS, CA 95035

Santa Clara County (408) 263-2252

ROSHNI PATEL D.D.S.

Dentist

371 JACKLIN RD
MILPITAS, CA 95035

Santa Clara County (408) 263-2252

DR. NIDHI PRAKASH DMD

Dentist (General Practice)

371 JACKLIN RD
MILPITAS, CA 95035

Santa Clara County (408) 263-2255

ROSHNI PATEL, DDS AND NEHA ROY, DMD, INC

Dentist

371 JACKLIN RD
MILIPITAS, CA 95035

Santa Clara County (408) 263-2252

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peterson Lim's NPI number?

The NPI number for Peterson Lim is 1578964110. It was assigned to this individual provider in the NPPES registry on September 15, 2014.

Where is Peterson Lim located?

Peterson Lim practices at 371 Jacklin Rd, Milpitas, CA 95035. The listed phone number is (408) 263-2252.

What is Peterson Lim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Peterson Lim enrolled in Medicare?

Yes. Peterson Lim is registered in the Medicare PECOS enrollment system.

What insurance does Peterson Lim accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Renaissance Dental list Peterson Lim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Peterson Lim was last updated on September 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.