Organization Active NPI

Davinci Plastic Surgery PC

  • Plastic and Reconstructive Surgery Physician
  • Washington, DC
National Provider Identifier
1659545366
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
DAVINCI PLASTIC SURGERY PC
Practice address
3050 K St NW Ste 170
Washington, DC 20007-5123
Phone
(202) 966-9590
Fax
(202) 966-9596
NPI assigned
Apr 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Authorized official

Name
Steven Paul DavisonNPI 1003814062
Title
President
Phone
(202) 966-9590

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X Primary

Addresses

Primary practice location

3050 K St NW Ste 170
Washington, DC 20007-5123

Mailing address

3050 K St NW Ste 170
Washington, DC 20007-5123
Phone (202) 966-9590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081120000314 DC Part B Supplier - Clinic/Group Practice 1850451816 Receives reassigned benefits from 2 practitioners
Practice locations: Washington, DC

National Provider Directory

National Provider Directory

Locations

3050 K St NW
Ste 170
Washington, DC 20007
Phone (202) 966-9590

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1659545366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 K ST NW STE 170",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200075123",
            "telephone_number": "202-966-9590",
            "fax_number": "202-966-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 K ST NW STE 170",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200075123",
            "telephone_number": "202-966-9590",
            "fax_number": "202-966-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVINCI PLASTIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "DAVISON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-966-9590"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.