Individual provider Active NPI

Steven J. Locnikar, D.O.

  • Addiction Medicine (Family Medicine) Physician
  • Scottsdale, AZ
National Provider Identifier
1184932782
Registry record updated Apr 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
005284 Issued in AZ
Practice address
11390 E Via Linda
103
Scottsdale, AZ 85259-4075
Phone
(480) 219-0055
Fax
(480) 219-0330
NPI assigned
Sep 16, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 005284 AZ Primary
Facial Plastic Surgery Physician 207YS0123X 005284 AZ

Addresses

Primary practice location

11390 E Via Linda
103
Scottsdale, AZ 85259-4075

Mailing address

11390 E Via Linda
103
Scottsdale, AZ 85259-4075
Phone (480) 219-0055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260610002871 AZ Practitioner - Osteopathic Manipulative Medicine 7416941729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Philadelphia College of Osteopathic Medicine, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8070 E Morgan TRL
Suite 200
Scottsdale, AZ 85258-1229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2669AZMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Peak Recovery, LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460073600000",
    "number": "1184932782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11390 E VIA LINDA",
            "address_2": "103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852594075",
            "telephone_number": "480-219-0055",
            "fax_number": "480-219-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11390 E VIA LINDA",
            "address_2": "103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852594075",
            "telephone_number": "480-219-0055",
            "fax_number": "480-219-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCNIKAR",
        "first_name": "STEVEN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-16",
        "last_updated": "2016-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "AZ",
            "license": "005284",
            "primary": true
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "AZ",
            "license": "005284",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.