Organization Active NPI

Excel Dermatology Institute

  • Dermatology Physician
  • Vienna, VA
National Provider Identifier
1407078751
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0102050058 Issued in VA
Legal business name
EXCEL DERMATOLOGY INSTITUTE
Practice address
2236C Gallows Rd
Vienna, VA 22182-5200
Phone
(703) 827-7008
Fax
(703) 827-7011
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Duyen T Faria, DO
Title
Owner
Phone
(703) 827-7008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 0102050058 VA Primary

Addresses

Primary practice location

2236C Gallows Rd
Vienna, VA 22182-5200

Mailing address

2236C Gallows Rd
Vienna, VA 22182-5200
Phone (703) 827-7008

National Provider Directory

National Provider Directory

Locations

2236C Gallows Rd
Vienna, VA 22182
Phone (703) 827-7008

2236C Gallows Rd
Fl Second
Vienna, VA 22182
Phone (703) 827-7008

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407078751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2236C GALLOWS RD",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221825200",
            "telephone_number": "703-827-7008",
            "fax_number": "703-827-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2236C GALLOWS RD",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221825200",
            "telephone_number": "703-827-7008",
            "fax_number": "703-827-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL DERMATOLOGY INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FARIA",
        "authorized_official_first_name": "DUYEN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-827-7008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0102050058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.