Organization Active NPI

Dermatology Associates of McLean

  • Dermatology Physician
  • McLean, VA
National Provider Identifier
1386826055
Registry record updated Feb 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
DERMATOLOGY ASSOCIATES OF MCLEAN
Practice address
1365 Beverly Rd
Second Floor
McLean, VA 22101-3603
Phone
(703) 790-5850
Fax
(703) 790-1028
NPI assigned
Dec 4, 2007
Last updated
Feb 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2016

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

Authorized official

Name
Dr. William J Alms, MDNPI 1740252006
Title
Owner
Phone
(703) 790-5850

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: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

1365 Beverly Rd
Second Floor
McLean, VA 22101-3603

Mailing address

1365 Beverly Rd
Second Floor
McLean, VA 22101-3603
Phone (703) 790-5850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080903000162 DC Part B Supplier - Clinic/Group Practice 2466528211 Receives reassigned benefits from 4 practitioners
Practice locations: MC Lean, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D0685378Dermatology Associates of McLean1365 Beverly Road,2ND Floor, McLean, VA 22101ComplianceMar 8, 2027

National Provider Directory

National Provider Directory

Locations

1365 Beverly Rd
Fl 2
McLean, VA 22101
Phone (703) 790-5850

1365 Beverly Rd
Fl Second
McLean, VA 22101
Phone (703) 790-5850

6731 Whittier Ave
Ste B200
McLean, VA 22101
Phone (703) 790-5850

Practitioners & affiliated clinicians

Practitioners 5

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": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456444800000",
    "number": "1386826055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 BEVERLY RD",
            "address_2": "SECOND FLOOR",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221013603",
            "telephone_number": "703-790-5850",
            "fax_number": "703-790-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 BEVERLY RD",
            "address_2": "SECOND FLOOR",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221013603",
            "telephone_number": "703-790-5850",
            "fax_number": "703-790-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY ASSOCIATES OF MCLEAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2016-02-26",
        "status": "A",
        "authorized_official_last_name": "ALMS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-790-5850",
        "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": []
}

Other providers in McLean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.