NPIMap

Organization Active NPI

Liem DO, Lacamas, LLC

  • Dentist
  • Camas, WA
National Provider Identifier
1497133193
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE8159 Issued in WA
Legal business name
LIEM DO, LACAMAS, LLC
Practice address
155 NE 192ND Ave
Suite 105
Camas, WA 98607-7477
Phone
(360) 696-0000
Fax
(360) 896-6264
NPI assigned
May 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2015

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

Authorized official

Name
Liem DO, DDS
Title
Owner
Phone
(360) 696-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DE8159 WA Primary

Addresses

Primary practice location

155 NE 192ND Ave
Suite 105
Camas, WA 98607-7477

Mailing address

13510 NE 84TH St
Suite 105
Vancouver, WA 98682-3092
Phone (360) 696-0000

Other names 1

  • CareOne Dental Doing business as

National Provider Directory

National Provider Directory

Locations

155 NE 192nd Ave
Ste 105
Camas, WA 98607
Phone (360) 567-5064

NPI Registry JSON

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1497133193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13510 NE 84TH ST",
            "address_2": "SUITE 105",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986823092",
            "telephone_number": "360-696-0000",
            "fax_number": "360-896-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 NE 192ND AVE",
            "address_2": "SUITE 105",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986077477",
            "telephone_number": "360-696-0000",
            "fax_number": "360-896-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIEM DO, LACAMAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "LIEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-696-0000",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE8159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareOne Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camas, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.