Complete Dermatology of Virginia, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

COMPLETE DERMATOLOGY OF VIRGINIA, INC.

Practice address

10721 Main St
Suite 3100
Fairfax, VA 22030-6914

Phone

(703) 281-0471

Fax

(540) 346-4642

NPI assigned

Aug 19, 2016

Last updated

Aug 19, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Reena Vaid, MD

Title

Doctor/Owner

Phone

(703) 281-0471

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 4

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.

• Sarah Nakib, MD, MPH

  • Dermatology Physician
  • Baltimore, MD
  • NPI 1013100049

  DC

  Medicare reassignment NPD
• Emily Kuzoian

  • Physician Assistant
  • Oakton, VA
  • NPI 1215748843

  DC

  Medicare reassignment
• Arnold R Oppenheim, M.D.

  • Dermatology Physician
  • Virginia Beach, VA
  • NPI 1649356940

  Specialist

  NPD
• Martin S Horn, M.D.

  • Procedural Dermatology Physician
  • Fairfax, VA
  • NPI 1952387060
  NPD (past)

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471564800000",
    "number": "1609321611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10721 MAIN ST",
            "address_2": "SUITE 3100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306914",
            "telephone_number": "703-281-0471",
            "fax_number": "540-346-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10721 MAIN ST",
            "address_2": "SUITE 3100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306914",
            "telephone_number": "703-281-0471",
            "fax_number": "540-346-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE DERMATOLOGY OF VIRGINIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-19",
        "last_updated": "2016-08-19",
        "status": "A",
        "authorized_official_last_name": "VAID",
        "authorized_official_first_name": "REENA",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "703-281-0471",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.

Verify at the official NPI Registry.