Individual provider Active NPI

Jung Lim, D.D.S.

  • Endodontics
  • Palm Desert, CA
National Provider Identifier
1750557054
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
52079 Issued in CA
Practice address
72650 Fred Waring Dr Ste 207
Palm Desert, CA 92260-5009
Phone
(760) 340-3341
Fax
(760) 340-1088
NPI assigned
May 6, 2008
Last updated
Aug 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 52079 CA Primary

Addresses

Primary practice location

72650 Fred Waring Dr Ste 207
Palm Desert, CA 92260-5009

Mailing address

72650 Fred Waring Dr Ste 207
Palm Desert, CA 92260-5009
Phone (760) 340-3341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160122001745 CA Order and Referring Only - DentistPractitioner - Dentist 0749583813

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Li & Lim Dental Corporation Endodontics Past Accepting new patients
Lim & Li Dental Corporation Endodontics Past Accepting new patients

Organizations & group practices 2

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": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1750557054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72650 FRED WARING DR STE 207",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922605009",
            "telephone_number": "760-340-3341",
            "fax_number": "760-340-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72650 FRED WARING DR STE 207",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922605009",
            "telephone_number": "760-340-3341",
            "fax_number": "760-340-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "JUNG",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-06",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "52079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

Verify at the official NPI Registry.