NPIMap

Organization Active NPI

Washington Institute of Dermatologic Laser Surgery

  • Dermatology Physician
  • Washington, DC
National Provider Identifier
1124600887
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
WASHINGTON INSTITUTE OF DERMATOLOGIC LASER SURGERY
Practice address
1430 K St NW Ste 200
Washington, DC 20005-2554
Phone
(202) 628-8855
Fax
(202) 628-8850
NPI assigned
Apr 22, 2021
Last updated
Apr 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Authorized official

Name
Tina Alster, MDNPI 1417157272
Title
President
Phone
(334) 332-2444

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
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

1430 K St NW Ste 200
Washington, DC 20005-2554

Mailing address

1430 K St NW Ste 200
Washington, DC 20005-2554
Phone (202) 628-8855

National Provider Directory

National Provider Directory

Locations

1430 K St NW
Ste 200
Washington, DC 20005
Phone (202) 628-8855

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1124600887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 K ST NW STE 200",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200052554",
            "telephone_number": "202-628-8855",
            "fax_number": "202-628-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 K ST NW STE 200",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200052554",
            "telephone_number": "202-628-8855",
            "fax_number": "202-628-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON INSTITUTE OF DERMATOLOGIC LASER SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "ALSTER",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-332-2444",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "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 Apr 22, 2021; 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.