Individual provider Active NPI

David E Lannik, MD

  • Specialist
  • Suffolk, VA
National Provider Identifier
1700888963
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101035498 Issued in VA
Practice address
5818 D Harbour View Blvd
Suite 150
Suffolk, VA 23435-3327
Phone
(757) 215-1400
Fax
(757) 215-1403
NPI assigned
Jun 1, 2005
Last updated
Aug 25, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101035498 VA Primary

Addresses

Primary practice location

5818 D Harbour View Blvd
Suite 150
Suffolk, VA 23435-3327

Mailing address

5818 D Harbour View Blvd
Suite 150
Suffolk, VA 23435-3327
Phone (757) 215-1400

Other identifiers 1

IdentifierTypeStateIssuer
006445063MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101035498VAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Wardell Orthopaedics PC PastSince Aug 1, 2012 Accepting new patients
Maryview Hospital Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314230400000",
    "number": "1700888963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5818 D HARBOUR VIEW BLVD",
            "address_2": "SUITE 150",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353327",
            "telephone_number": "757-215-1400",
            "fax_number": "757-215-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5818 D HARBOUR VIEW BLVD",
            "address_2": "SUITE 150",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353327",
            "telephone_number": "757-215-1400",
            "fax_number": "757-215-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANNIK",
        "first_name": "DAVID",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2011-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101035498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006445063",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.