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JONGSEUK LIM DDS
NPI 1104434380
Dentist - General Practice in Rochester, MN

Active since July 14, 2020PECOS Enrolled
2056 SUPERIOR DR NW, ROCHESTER, MN 55901(507) 710-3616 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 14, 2025, Aug 4, 2025, Jul 14, 2020 (3 updates tracked since 2020).

About Jongseuk Lim Dds NPPES

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

JONGSEUK LIM DDS (NPI 1104434380) is an individual general practice provider in Rochester, Minnesota, licensed in Minnesota (D14426) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Rochester, and is a graduate of University Of Maryland At Baltimore School Of Dentistry (2020).

NPPES Registry Identity

NPI1104434380
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJONGSEUK LIMCredential: DDS
Location Address2056 SUPERIOR DR NWRochester, MN 55901-5024
Mailing Address2375 Superior Ln NwRochester, MN 55901-3314 · (571) 598-4021
Phone(507) 710-3616
Sole ProprietorNo
Medical School CMSUniversity Of Maryland At Baltimore School Of DentistryGraduated 2020
Enumeration DateJuly 14, 2020
Last NPPES UpdateAugust 14, 20253 updates tracked since enumeration
NPPES CertifiedAugust 14, 2025
✔ NPI 1104434380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MN · D14426
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.
Also ListedDentistTaxonomy 122300000X · License D14426 (MN)
2056 SUPERIOR DR NW, Rochester, MN 55901
Open in Google Maps ↗

Secondary Practice Location 1

Location 1822 38th St NWRochester, MN 55901-6985 · Phone (507) 361-0437 · Fax (507) 361-1413

Other Identifiers 2

Other1629968995MN · Npi2
Other1316838063MN · Npi2

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID8325504921
PECOS Enrollment IDI20260803001984
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.

Medicare Billing Reassignment

Medicare enrollment records show Jongseuk Lim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Minnesota Sleep Dentistry PLLC
Same address
General Practice
2056 SUPERIOR DR NW
Rochester, MN 55901
  • Reassigned Medicare billing, Minnesota enrollment
  • 3 clinicians in this Medicare group
NPI 1629968995 (507) 289-3921

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55901 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 6

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

ASHLY MATZEK DMD
Dentist (General Practice)
2056 SUPERIOR DR NW
ROCHESTER, MN 55901
Olmsted County (507) 203-2332
NORTHWEST DENTAL GROUP
Dentist (General Practice)
2056 SUPERIOR DR NW
ROCHESTER, MN 55901
Olmsted County (507) 289-3921
DR. KATHRYN E ALBIN DDS
Dentist
2056 SUPERIOR DR NW
ROCHESTER, MN 55901
Olmsted County (507) 289-3921
RUO-HSUAN CHEN DMD
Dentist (General Practice)
2056 SUPERIOR DR NW
ROCHESTER, MN 55901
Olmsted County (507) 315-2932
MINNESOTA SLEEP DENTISTRY PLLC
Dentist (General Practice)
2056 SUPERIOR DR NW
ROCHESTER, MN 55901
Olmsted County (507) 289-3921
MRS. MADISON RAE DICKOVICH DMD
Dentist (General Practice)
2056 SUPERIOR DR NW
ROCHESTER, MN 55901
Olmsted County (507) 315-4015

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 Jongseuk Lim's NPI number?

The NPI number for Jongseuk Lim is 1104434380. It was assigned to this individual provider in the NPPES registry on July 14, 2020.

Where is Jongseuk Lim located?

Jongseuk Lim practices at 2056 Superior Dr NW, Rochester, MN 55901. The listed phone number is (507) 710-3616.

What is Jongseuk Lim's specialty?

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

Is Jongseuk Lim enrolled in Medicare?

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

Which organization bills Medicare for Jongseuk Lim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jongseuk Lim reassigns Medicare benefits to Minnesota Sleep Dentistry PLLC (Rochester, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jongseuk Lim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jongseuk 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, HRI Dental & Vision and Paramount and 1 other insurer list Jongseuk 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 Jongseuk Lim was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.