Active NPI
Glenn H Fuchs, MD
- Procedural Dermatology Physician
- Falls Church, VA
National Provider Identifier
1720038342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Procedural Dermatology Physician
- License
- 0101033724
- Practice address
- 6565 Arlington Blvd Ste 102
Falls Church, VA 22042-3000 - Phone
- (703) 578-1770
- Fax
- (703) 820-7088
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD12067 | DC | |
| Dermatology Physician | 207N00000X | 0101033724 | VA | |
| Procedural Dermatology Physician | 207NS0135X | 0101033724 | VA | Primary |
Addresses
Primary practice location
6565 Arlington Blvd Ste 102
Falls Church, VA 22042-3000
Mailing address
6565 Arlington Blvd Ste 102
Falls Church, VA 22042-3000
Phone (703) 578-1770
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 814870 | Other | AETNA | |
| 060386 | Other | VA | ANTHEM BLUESHIELD OF VA |
| 133076 | Other | VA | MEDICARE PTAN |
| 15460001 | Other | DC | CAREFIRST BLUECROSS BLUESHIELD |
| DN8752 | Other | VA | RR MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101033724 | VA | MD | Procedural Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644278400000",
"number": "1720038342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6565 ARLINGTON BLVD STE 102",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220423000",
"telephone_number": "703-578-1770",
"fax_number": "703-820-7088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6565 ARLINGTON BLVD STE 102",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220423000",
"telephone_number": "703-578-1770",
"fax_number": "703-820-7088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUCHS",
"first_name": "GLENN",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2022-02-08",
"certification_date": "2022-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "DC",
"license": "MD12067",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "VA",
"license": "0101033724",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "VA",
"license": "0101033724",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "814870",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUESHIELD OF VA",
"identifier": "060386",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "133076",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BLUECROSS BLUESHIELD",
"identifier": "15460001",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PTAN",
"identifier": "DN8752",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.