Individual provider Active NPI

David Judson Dexter II, MD

  • Vascular Surgery Physician
  • Norfolk, VA
National Provider Identifier
1649306853
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
0101251780 Issued in VA
Practice address
600 Gresham Dr Ste 8620
Norfolk, VA 23507-1904
Phone
(757) 395-1600
Fax
(757) 625-0433
NPI assigned
Feb 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101251780 VA
Vascular Surgery Physician 2086S0129X 0101251780 VA Primary

Addresses

Primary practice location

600 Gresham Dr Ste 8620
Norfolk, VA 23507-1904

Mailing address

600 Gresham Dr Ste 8620
Norfolk, VA 23507-1904
Phone (757) 395-1600

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
I20120809000121 VA Practitioner - Vascular SurgeryPractitioner - General Surgery 7315193240 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
State University of Ny Upstate Medical University, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians
Vascular Access Services PLLCGroup PAC ID 3971513771, 10 clinicians

Practice addresses (Care Compare)

100 Sentara Cir
Williamsburg, VA 23188-5713

100 Sentara Circle
SMG Division of Hospital Medicine William
Wiliamsburg, VA 23188-5713
Phone (757) 984-7217

1031 Loftis Blvd
Suite 201
Newport News, VA 23606-2981
Phone (757) 736-6985

1051 Loftis Blvd
Suite 210
Newport News, VA 23606-2981
Phone (757) 732-9302

1060 1St Colonial Rd
Virginia BCH, VA 23454-3002
Phone (757) 395-2323

2025 Glenn Mitchell Dr
Virginia Beach, VA 23456-0178
Phone (757) 507-4123

2790 Godwin Blvd
Suite 235
Suffolk, VA 23434-8038
Phone (757) 934-4580

2790 Godwin Blvd
Suite 305
Suffolk, VA 23434-8158
Phone (757) 934-4222

2800 Godwin Blvd
Suffolk, VA 23434-8038

3000 Coliseum Dr
Hampton, VA 23666-5963

3920 A Bridge Rd
Suite 204
Suffolk, VA 23435-1117
Phone (757) 983-0351

3920 Bridge Rd
Suite 100
Suffolk, VA 23435-1117
Phone (757) 983-0800

3920 Bridge Rd a
Suffolk, VA 23435-1117
Phone (757) 827-2202

397 Little Neck Rd
3300 South BLDG
Virginia Beach, VA 23452-5770
Phone (757) 333-3870

397 Little Neck Rd
Suite 120
Virginia Beach, VA 23452-5774
Phone (757) 395-1600

600 Gresham Dr
Norfolk, VA 23507-1904

725 Volvo Pkwy
Chesapeake, VA 23320-1621

800 Independence Blvd
Virginia Beach, VA 23455-6011
Phone (757) 252-9048

830 Kempsville Rd
2B223
Norfolk, VA 23502-3920
Phone (757) 261-8860

850 Kempsville Rd
Norfolk, VA 23502-3920

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Varicose vein removal49
Leg revascularization (restoring blood flow)35
Removal of tissue14
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101251780VAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular Access Services PLLC Vascular Surgery CurrentSince Sep 1, 2012 Accepting new patients
Sentara Medical Group Vascular Surgery CurrentSince Jun 19, 2012 Accepting new patients

Locations

600 Gresham Dr
Ste 8620
Norfolk, VA 23507
Phone (757) 388-6402

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

600 Gresham Dr
#8620
Norfolk, VA 23507

397 Little Neck Rd
#3300S
Virginia Beach, VA 23452
Phone (757) 333-3870

397 Little Neck Rd
Ste 150
Virginia Beach, VA 23452
Phone (757) 333-3870

Interoperability endpoints

  • Direct secure messaging: ddexter62236@direct.sentara.net

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1649306853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 GRESHAM DR STE 8620",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071904",
            "telephone_number": "757-395-1600",
            "fax_number": "757-625-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 GRESHAM DR STE 8620",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071904",
            "telephone_number": "757-395-1600",
            "fax_number": "757-625-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEXTER",
        "first_name": "DAVID",
        "middle_name": "JUDSON",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-24",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101251780",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "VA",
            "license": "0101251780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.