Individual provider Active NPI

Brenda Dintiman, M.D.

  • Specialist
  • Vienna, VA
National Provider Identifier
1457459455
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101046760 Issued in VA
Practice address
370 Maple Ave W Ste V
Vienna, VA 22180-5615
Phone
(703) 229-2544
NPI assigned
Sep 21, 2006
Last updated
Sep 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101046760 VA Primary

Addresses

Primary practice location

370 Maple Ave W Ste V
Vienna, VA 22180-5615

Mailing address

PO Box 227
Vienna, VA 22183-0227
Phone (703) 229-2544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110329000690 DC Practitioner - Dermatology 3678641248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Virginia Commonwealth University, School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

527 Maple Ave E
Suite 204
Vienna, VA 22180-4746
Phone (703) 229-2544

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision26
Removal of skin lesions1309
Removal or shaving of skin growth1-10
Skin biopsy167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101046760VAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Dermutopia Specialist Current Accepting new patients

Locations

24430 Stone Springs Blvd
Ste 215
Sterling, VA 20166
Phone (703) 665-2430

370 Maple Ave W
Ste V
Vienna, VA 22180
Phone (703) 229-2544

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1457459455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 227",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221830227",
            "telephone_number": "703-229-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 MAPLE AVE W STE V",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221805615",
            "telephone_number": "703-229-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINTIMAN",
        "first_name": "BRENDA",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101046760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.