Active NPI
Warren O Opheim, MD
- Neurology Physician
- Sioux Falls, SD
National Provider Identifier
1396751525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 2194
- Practice address
- 1301 S Cliff Ave
Suite 506
Sioux Falls, SD 57105-1053 - Phone
- (605) 335-0844
- Fax
- (605) 977-1715
- NPI assigned
- Jul 31, 2006
- Last updated
- Apr 7, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 2194 | SD | Primary |
Addresses
Primary practice location
1301 S Cliff Ave
Suite 506
Sioux Falls, SD 57105-1053
Mailing address
1301 S Cliff Ave
Suite 506
Sioux Falls, SD 57105-1053
Phone (605) 335-0844
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 026095900 | Medicaid | MN | |
| 0004860 | Other | SD | BCBS |
| 6100010 | Medicaid | SD | |
| 7K530OP | Other | MN | BCBS |
| 0004860 | Other | IA | BCBS |
| 0923680 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2194 | SD | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302134400000",
"number": "1396751525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 S CLIFF AVE",
"address_2": "SUITE 506",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571051053",
"telephone_number": "605-335-0844",
"fax_number": "605-977-1715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 S CLIFF AVE",
"address_2": "SUITE 506",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571051053",
"telephone_number": "605-335-0844",
"fax_number": "605-977-1715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OPHEIM",
"first_name": "WARREN",
"middle_name": "O",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2011-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "SD",
"license": "2194",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "026095900",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0004860",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6100010",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "7K530OP",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0004860",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0923680",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.