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

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

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.

• 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.
• 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.