Dermatology and Dermatologic Surgery, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101230540 Issued in VA

Legal business name

DERMATOLOGY AND DERMATOLOGIC SURGERY, INC.

Doing business as

The Center for Dermatology

Practice address

8505 Arlington Blvd
Suite 210
Fairfax, VA 22031-4621

Phone

(703) 846-0076

Fax

(703) 846-0025

NPI assigned

Apr 2, 2007

Last updated

Oct 8, 2009By 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

Saundra L Seaman, MD

Title

Owner

Phone

(703) 846-0076

Specialties & licenses 2

Addresses

Other names 1

• The Center for Dermatology Doing business as

Locations

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254960000000",
    "number": "1154442051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8505 ARLINGTON BLVD",
            "address_2": "SUITE 210",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314621",
            "telephone_number": "703-846-0076",
            "fax_number": "703-846-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8505 ARLINGTON BLVD",
            "address_2": "SUITE 210",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314621",
            "telephone_number": "703-846-0076",
            "fax_number": "703-846-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY AND DERMATOLOGIC SURGERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2009-10-08",
        "status": "A",
        "authorized_official_last_name": "SEAMAN",
        "authorized_official_first_name": "SAUNDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-846-0076",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0053142",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101230540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center for Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dental Professionals of Virginia, P.C. (Poplar Tree Dental Care)
• Dental Services DDS, PC
• Dentists of Fair Oaks
• Deborah Ruth Deperio
• Andrew John Itutud Derks, PHYSICIAN ASSISTANT
• Dermatology of Virginia
• Virginia Marie Deroma, PHD
• Gabrielle Derosier
• Nicole Derosier, PA-C
• Amanda Derwae, M.D.

• Specialist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; 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.