Individual provider Active NPI

Lance Davlin, MD

  • Orthopaedic Hand Surgery Physician
  • Norfolk, VA
National Provider Identifier
1316925167
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
0101046122 Issued in VA
Practice address
844 Kempsville Rd Ste 104
Norfolk, VA 23502-3927
Phone
(757) 252-5600
Fax
(757) 226-0157
NPI assigned
Jan 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 0101046122 VA Primary
Orthopaedic Hand Surgery Physician 207XS0106X 046122 VA

Addresses

Primary practice location

844 Kempsville Rd Ste 104
Norfolk, VA 23502-3927

Mailing address

844 Kempsville Rd Ste 104
Norfolk, VA 23502-3927
Phone (757) 252-5600

Other practice location 1

6275 E Virginia Beach Blvd
Suite 300
Norfolk, VA 23502-2851
Phone (757) 461-1688

Other identifiers 4

IdentifierTypeStateIssuer
400000649OtherRAILROAD MEDICARE
CC7688OtherRAILROAD MEDICARE GROUP#
006405771MedicaidVA
C00102OtherMEDICARE GROUP LEGACY NUM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20090205000638 VA Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 0547324501 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
046122VAMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group CurrentSince Jan 1, 2009 Accepting new patients

Locations

200 Medical Pkwy
Ste 210
Chesapeake, VA 23320
Phone (757) 436-6913

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

844 Kempsville Rd
Ste 104
Norfolk, VA 23502
Phone (757) 252-5600

6275 E Virginia Beach Blvd
Ste 300
Norfolk, VA 23502
Phone (757) 461-1688

5716 Cleveland St
Ste 210
Virginia Beach, VA 23462
Phone (757) 554-0500

Interoperability endpoints

  • Direct secure messaging: ldavlin19662@direct.sentara.net

Organizations & group practices 1

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": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1316925167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 KEMPSVILLE RD STE 104",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023927",
            "telephone_number": "757-252-5600",
            "fax_number": "757-226-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 KEMPSVILLE RD STE 104",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023927",
            "telephone_number": "757-252-5600",
            "fax_number": "757-226-0157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6275 E Virginia Beach Blvd",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235022851",
            "country_code": "US",
            "telephone_number": "757-461-1688",
            "fax_number": "757-455-8565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVLIN",
        "first_name": "LANCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "VA",
            "license": "0101046122",
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "VA",
            "license": "046122",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "400000649",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP#",
            "identifier": "CC7688",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006405771",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP LEGACY NUM",
            "identifier": "C00102",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.