DR. OCTAVIO LICON MD
NPI 1629057179
Orthopaedic Surgery in El Paso, TX

NPI Status: Active since January 12, 2006

Contact Information

10410 VISTA DEL SOL DR
EL PASO, TX
ZIP 79925
Phone: (915) 592-3323
Fax: (915) 593-8571

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  • Individual
  • Male
  • Orthopaedic Surgery

About OCTAVIO LICON

This page provides the complete NPI Profile along with additional information for Octavio Licon, a provider established in El Paso, Texas with a medical specialization in Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1629057179 assigned on January 2006. The practitioner's primary taxonomy code is 207X00000X with license number F2773 (TX). The provider is registered as an individual and his NPI record was last updated 16 years ago.

NPI
1629057179
Provider Name
DR. OCTAVIO LICON MD
Other Name
OCTAVIO P LICON M.D.
Other Name Type
Professional Name (2)
Gender
Male
Entity Type
Individual
Location Address
10410 VISTA DEL SOL DR EL PASO, TX 79925
Location Phone
(915) 592-3323
Location Fax
(915) 593-8571
Mailing Address
10410 VISTA DEL SOL DR EL PASO, TX 79925
Mailing Phone
(915) 592-3323
Mailing Fax
(915) 593-8571
Is Sole Proprietor?
Yes
Enumeration Date
01-12-2006
Last Update Date
04-06-2010
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
License No.
F2773
License State
TX
Taxonomy Description
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207X00000XAllopathic & Osteopathic Physicians

Orthopaedic Surgery

86-269 (NM)
2207XS0106XAllopathic & Osteopathic Physicians

Orthopaedic Surgery
Hand Surgery

F2773 (TX)
3207XS0106XAllopathic & Osteopathic Physicians

Orthopaedic Surgery
Hand Surgery

86-269 (NM)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
P000EN585MEDICAID (05)TX 
00EN58MEDICARE ID-TYPE UNSPECIFIED (04)TX 
0000Y3758MEDICAID (05)NM 
B24377MEDICARE UPIN (02) 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1629057179, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
2
Doubled → 4
Pos 4
9
Unchanged
Pos 5
0
Doubled → 0
Pos 6
5
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 0 → 0 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 4 + 9 + 0 + 5 + 1 + 4 + 1 + 1 + 4 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1629057179.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Orthopaedic Surgery
10410 VISTA DEL SOL DR
EL PASO, TX 79925
Physical Medicine & Rehabilitation
10410 VISTA DEL SOL DR
EL PASO, TX 79925
General Practice
10410 VISTA DEL SOL DR
EL PASO, TX 79925

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629057179, enumerated as an "individual" on January 12, 2006.

The provider is located at 10410 VISTA DEL SOL DR EL PASO, TX 79925 and the phone number is (915) 592-3323.

Orthopaedic Surgery with taxonomy code 207X00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.