Active NPI
Center for Medical Dermatology
- Dermatology Physician
- Vienna, VA
National Provider Identifier
1780629584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC2111 | Other | VA | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryNPI 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.