SUSAN LIEM
NPI 1265681266
Dentist in Pinole, CA

Active since September 15, 2008PECOS Enrolled
2762 PINOLE VALLEY RD, PINOLE, CA 94564(925) 899-4175 Get Directions Write a Review

NPPES record last updated: February 6, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan Liem NPPES

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

SUSAN LIEM (NPI 1265681266) is an individual dentist in Pinole, California, licensed in California (60545) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265681266
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameSUSAN LIEM
Location Address2762 PINOLE VALLEY RDPinole, CA 94564-1425
Mailing AddressPo Box 23683Deer Park, NY 11729 · (925) 899-4175 · Fax (925) 899-4175
Sole ProprietorNo
Enumeration DateSeptember 15, 2008
Last NPPES UpdateFebruary 6, 2015
NPI 1265681266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 60545
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 054566 (NY)
2762 PINOLE VALLEY RD, Pinole, CA 94564

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Susan Liem is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94564 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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 2

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

Dentist (Pediatric Dentistry)
2762 PINOLE VALLEY RD
PINOLE, CA 94564
Dentist (General Practice)
2762 PINOLE VALLEY RD
PINOLE, CA 94564

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 Susan Liem's NPI number?

The NPI number for Susan Liem is 1265681266. It was assigned to this individual provider in the NPPES registry on September 15, 2008.

Where is Susan Liem located?

Susan Liem practices at 2762 Pinole Valley Rd, Pinole, CA 94564. The listed phone number is (925) 899-4175.

What is Susan Liem's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Susan Liem enrolled in Medicare?

Yes. Susan Liem is registered in the Medicare PECOS enrollment system.

What insurance does Susan Liem accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Susan Liem 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 Susan Liem was last updated on February 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.