Dermutopia PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMUTOPIA PLLC

Practice address

370 Maple Ave W Ste V
Vienna, VA 22180-5615

Phone

(703) 229-2544

NPI assigned

Apr 27, 2018

Last updated

Sep 26, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brenda J Dintiman, MDNPI 1457459455

Title

President

Phone

(703) 229-2544

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00099

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brenda Dintiman, M.D.

  • Specialist
  • Vienna, VA
  • NPI 1457459455

  DC

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569456000000",
    "number": "1003304874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 227",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221830227",
            "telephone_number": "703-229-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 MAPLE AVE W STE V",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221805615",
            "telephone_number": "703-229-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMUTOPIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-27",
        "last_updated": "2019-09-26",
        "status": "A",
        "authorized_official_last_name": "DINTIMAN",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-229-2544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Professionals of Virginia, P.C. (Covel, Stack and Henon,DDS,P.C.)
• Phabyan Depriest
• Selamawit Thomas Derese
• Dermatology & Dermatologic Surgery Group of Northern Virginia PLLC
• Dermutopia
• Sachit Desai, DO
• Randa Ahmed Desouky
• Ann Louise Devaney, M.S.W.
• Devine Family Care Inc
• Devotion Home Healthcare Inc.

• Dermatology Physician in Vienna, VA
• Providers in Vienna, VA by specialty
• Dermatology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.