Organization Active NPI

Beautiful Skin Institute, PLLC

  • Multi-Specialty Clinic/Center
  • Herndon, VA
National Provider Identifier
1659896876
Registry record updated Aug 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
0101251160 Issued in VA
Legal business name
BEAUTIFUL SKIN INSTITUTE, PLLC
Practice address
171 Elden St Ste 3B
Herndon, VA 20170-4875
Phone
(202) 790-2500
NPI assigned
Aug 9, 2017
Last updated
Aug 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2017

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

Authorized official

Name
Dr. Clemens Esche, MD
Title
Owner
Phone
(202) 790-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 0101251160 VA Primary

Addresses

Primary practice location

171 Elden St Ste 3B
Herndon, VA 20170-4875

Mailing address

171 Elden St Ste 3B
Herndon, VA 20170-4875

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502236800000",
    "number": "1659896876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 ELDEN ST STE 3B",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 ELDEN ST STE 3B",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704875",
            "telephone_number": "202-790-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTIFUL SKIN INSTITUTE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-09",
        "last_updated": "2017-08-09",
        "status": "A",
        "authorized_official_last_name": "ESCHE",
        "authorized_official_first_name": "CLEMENS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-790-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "VA",
            "license": "0101251160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2017; 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.