NPIMap

Organization Active NPI

Liem Som Oei MD PC

Doing business as Renal Associates PC

  • Nephrology Physician
  • Dakota Dunes, SD
National Provider Identifier
1386065662
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
5854 Issued in SD
Legal business name
LIEM SOM OEI MD PC
Doing business as
Renal Associates PC
Practice address
357 W Tower Rd
Dakota Dunes, SD 57049-5018
Phone
(712) 255-7746
Fax
(712) 255-0829
NPI assigned
Jan 3, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Teri A Harris
Title
Administrator
Phone
(712) 255-7746

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X
Infectious Disease Physician 207RI0200X
Nephrology Physician 207RN0300X 5854 SD Primary

Addresses

Primary practice location

357 W Tower Rd
Dakota Dunes, SD 57049-5018

Mailing address

357 West Tower Road
Dakota Dunes, SD 57049
Phone (712) 255-7746

Other identifiers 1

IdentifierTypeStateIssuer
1821044884OtherIANPI

Other names 1

  • Renal Associates PC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140417000904 SD Part B Supplier - Clinic/Group Practice 7618886789 Receives reassigned benefits from 10 practitioners
Practice locations: Dakota Dunes, SD

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

357 W Tower Rd
North Sioux City, SD 57049
Phone (605) 232-1901

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1386065662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 WEST TOWER ROAD",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "57049",
            "telephone_number": "712-255-7746",
            "fax_number": "712-255-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 W TOWER RD",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495018",
            "telephone_number": "712-255-7746",
            "fax_number": "712-255-0829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIEM SOM OEI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "TERI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "712-255-7746"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "SD",
            "license": "5854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1821044884",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renal Associates PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dakota Dunes, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.