Individual provider Active NPI

Diana Lynn Honebrink, M.D.

  • Pediatrics Physician
  • Oro Valley, AZ
National Provider Identifier
1679587646
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
29773 Issued in AZ
Practice address
10390 N la Canada Dr Ste 110
Oro Valley, AZ 85737-7273
Phone
(520) 420-2110
Fax
(520) 420-2111
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 29773 AZ Primary

Addresses

Primary practice location

10390 N la Canada Dr Ste 110
Oro Valley, AZ 85737-7273

Mailing address

1856 E Innovation Park Dr
Oro Valley, AZ 85755-1963
Phone (520) 825-7111

Other practice location 1

1856 E Innovation Park Dr
Oro Valley, AZ 85755-1963
Phone (520) 825-7111

Other identifiers 1

IdentifierTypeStateIssuer
621385MedicaidAZ

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
I20151120000182 AZ Practitioner - Pediatric Medicine 8628378874 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Minnesota Medical School, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMC Medical NetworkGroup PAC ID 9638457013, 276 clinicians

Practice addresses (Care Compare)

10390 N la Canada Dr
Suite 110
Oro Valley, AZ 85737-7269
Phone (520) 420-2110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29773AZMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Allied Physicians, LLC CurrentSince Nov 2, 2015 Accepting new patients
Northwest Allied Physicians LLC CurrentSince Nov 2, 2015 Accepting new patients
TMC Medical Network CurrentSince Mar 1, 2022 Accepting new patients

Locations

13395 N Marana Main St
Marana, AZ 85653
Phone (520) 616-6200

5224 W Dove Centre Rd
Marana, AZ 85658
Phone (520) 616-1445

1856 E Innovation Park Dr
Oro Valley, AZ 85755
Phone (520) 825-7111

1323 W Prince Rd
Tucson, AZ 85705
Phone (520) 887-0800

435 E Glenn St
Tucson, AZ 85705
Phone (520) 616-1560

2355 N Wyatt Dr
Ste 101
Tucson, AZ 85712
Phone (520) 616-4948

8333 N Silverbell Rd
Ste 161
Tucson, AZ 85743
Phone (520) 202-7770

2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010

7510 N Oracle Rd
Ste 100
Tucson, AZ 85704
Phone (520) 324-4230

12635 W Rudasill Rd
Tucson, AZ 85743
Phone (520) 682-3777

10390 N La Canada Dr
Ste 110
Tucson, AZ 85737
Phone (520) 420-2110

10390 N La Canada Dr
Tucson, AZ 85737

16701 N Oracle Rd
Ste 135
Tucson, AZ 85739
Phone (520) 682-1095

8181 E Irvington Rd
Tucson, AZ 85709
Phone (520) 574-1551

5000 E 29th St
Tucson, AZ 85711
Phone (520) 790-8500

3690 S Park Ave
Ste 805
Tucson, AZ 85713
Phone (520) 616-1560

2840 E Skyline Dr
Ste 230
Tucson, AZ 85718
Phone (520) 324-1214

1670 W Ruthrauff Rd
Tucson, AZ 85705
Phone (520) 616-6797

899 N Wilmot Rd
Ste B
Tucson, AZ 85711
Phone (520) 290-1100

Organizations & group practices 3

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1679587646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1856 E INNOVATION PARK DR",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857551963",
            "telephone_number": "520-825-7111",
            "fax_number": "520-818-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10390 N LA CANADA DR STE 110",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857377273",
            "telephone_number": "520-420-2110",
            "fax_number": "520-420-2111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1856 E Innovation Park Dr",
            "address_purpose": "LOCATION",
            "city": "Oro Valley",
            "state": "AZ",
            "postal_code": "857551963",
            "country_code": "US",
            "telephone_number": "520-825-7111",
            "fax_number": "520-818-1253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HONEBRINK",
        "first_name": "DIANA",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "29773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "621385",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oro Valley, AZ

Sources for this page

Verify at the official NPI Registry.