Active NPI
Chevy Chase Dermatology, LLC
- Dermatology Physician
- Chevy Chase, MD
National Provider Identifier
1407035165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- D0061245
- Legal business name
- CHEVY CHASE DERMATOLOGY, LLC
- Practice address
- 5530 Wisconsin Ave Ste 830
Chevy Chase, MD 20815-4461 - Phone
- (301) 656-7546
- NPI assigned
- Oct 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Margaret Litwin Sommerville, M.D.
- Title
- Medical Director
- Phone
- (301) 656-7546
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | D0061245 | MD | Primary |
Addresses
Primary practice location
5530 Wisconsin Ave Ste 830
Chevy Chase, MD 20815-4461
Mailing address
5530 Wisconsin Ave Ste 830
Chevy Chase, MD 20815-4461
Phone (301) 656-7546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5530 Wisconsin Ave
Ste 830
Chevy Chase, MD 20815
Phone (301) 656-7546
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218326400000",
"number": "1407035165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5530 WISCONSIN AVE STE 830",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208154461",
"telephone_number": "301-656-7546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5530 WISCONSIN AVE STE 830",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208154461",
"telephone_number": "301-656-7546"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHEVY CHASE DERMATOLOGY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-30",
"last_updated": "2008-08-10",
"status": "A",
"authorized_official_last_name": "SOMMERVILLE",
"authorized_official_first_name": "MARGARET",
"authorized_official_middle_name": "LITWIN",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "301-656-7546",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "MD",
"license": "D0061245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chevy Chase, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2008; 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.