Organization Active NPI

Complexions Medical Aesthetics

  • Clinic/Center
  • Bethesda, MD
National Provider Identifier
1548760770
Registry record updated Feb 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
COMPLEXIONS MEDICAL AESTHETICS
Practice address
4905 Del Ray Ave Ste 301
Bethesda, MD 20814-2558
Phone
(240) 745-6585
Fax
(240) 745-6585
NPI assigned
Feb 14, 2018
Last updated
Feb 14, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2018

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

Authorized official

Name
Stephanie Knox, NP-CNPI 1164759585
Title
Clinical Director
Phone
(240) 745-6585

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
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

4905 Del Ray Ave Ste 301
Bethesda, MD 20814-2558

Mailing address

8120 Fenton St Ste 202L
Silver Spring, MD 20910-4753
Phone (202) 681-4649

National Provider Directory

National Provider Directory

Locations

4905 Del Ray Ave
Ste 301
Bethesda, MD 20814
Phone (240) 752-7650

Practitioners & affiliated clinicians

Practitioners 1

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": "1518566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518566400000",
    "number": "1548760770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8120 FENTON ST STE 202L",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104753",
            "telephone_number": "202-681-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 DEL RAY AVE STE 301",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142558",
            "telephone_number": "240-745-6585",
            "fax_number": "240-745-6585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLEXIONS MEDICAL AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-14",
        "last_updated": "2018-02-14",
        "status": "A",
        "authorized_official_last_name": "KNOX",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "240-745-6585",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; 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.