Active NPI
District Dermatology, PLLC
- Dermatology Physician
- MC Lean, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- DISTRICT DERMATOLOGY, PLLC
- Practice address
- 6711 Whittier Ave Ste 101
MC Lean, VA 22101-4540 - Phone
- (703) 798-0610
- NPI assigned
- Dec 26, 2017
- 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. Ali Damavandy, MD
- Title
- Owner
- Phone
- (703) 798-0610
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 | Primary |
Addresses
Primary practice location
6711 Whittier Ave Ste 101
MC Lean, VA 22101-4540
Mailing address
6711 Whittier Ave Ste 101
MC Lean, VA 22101-4540
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2148650 | District Dermatology | Compliance | Oct 8, 2026 |
National Provider Directory
National Provider DirectoryLocations
1951 Kidwell Dr
Ste 110
Vienna, VA 22182
Interoperability endpoints
- https://app.meldrx.com/api/fhir/ez_00102
Practitioners & affiliated clinicians
Practitioners 8
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": "1514246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1514246400000",
"number": "1578079620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6711 WHITTIER AVE STE 101",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221014540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6711 WHITTIER AVE STE 101",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221014540",
"telephone_number": "703-798-0610"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DISTRICT DERMATOLOGY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-26",
"last_updated": "2017-12-26",
"status": "A",
"authorized_official_last_name": "DAMAVANDY",
"authorized_official_first_name": "ALI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "703-798-0610",
"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 MC Lean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2017; 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.