Organization Active NPI

Center for Medical Dermatology

  • Dermatology Physician
  • Vienna, VA
National Provider Identifier
1780629584
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
CENTER FOR MEDICAL DERMATOLOGY
Practice address
8301 Old Court House Rd
Vienna, VA 22182
Phone
(703) 442-0301
Fax
(703) 442-0337
NPI assigned
Jun 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Authorized official

Name
Dr. Francis S Rotter, MD
Title
Owner
Phone
(703) 442-0301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

8301 Old Court House Rd
Vienna, VA 22182

Mailing address

8301 Old Court House Rd
Vienna, VA 22182-3804
Phone (703) 442-0301

Other identifiers 1

IdentifierTypeStateIssuer
DC2111OtherVARAILROAD MEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1780629584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 OLD COURT HOUSE RD",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823804",
            "telephone_number": "703-442-0301",
            "fax_number": "703-442-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 OLD COURT HOUSE RD",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "22182",
            "telephone_number": "703-442-0301",
            "fax_number": "703-442-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR MEDICAL DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "ROTTER",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-442-0301",
        "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC2111",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.