Active NPI
Cutis Center for Dermatology and Aesthetics LLC
- Dermatology Physician
- Alexandria, VA
National Provider Identifier
1962260711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- CUTIS CENTER FOR DERMATOLOGY AND AESTHETICS LLC
- Practice address
- 950 N Washington St # B100
Alexandria, VA 22314-2393 - Phone
- (703) 795-9615
- NPI assigned
- Mar 7, 2024
- 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
- Janet Lovato
- Title
- Credentialing Specialist
- Phone
- (877) 443-9337
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
950 N Washington St # B100
Alexandria, VA 22314-2393
Mailing address
950 N Washington St # B100
Alexandria, VA 22314-2393
Phone (703) 795-9615
Other practice location 1
310 S Washington St
Alexandria, VA 22314-3628
Phone (703) 795-9615
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
950 N Washington St
#B100
Alexandria, VA 22314
Phone (703) 795-9615
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709769600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718064000000",
"number": "1962260711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 N WASHINGTON ST # B100",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223142393",
"telephone_number": "703-795-9615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 N WASHINGTON ST # B100",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223142393",
"telephone_number": "703-795-9615"
}
],
"practiceLocations": [
{
"address_1": "310 S Washington St",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "VA",
"postal_code": "223143628",
"country_code": "US",
"telephone_number": "703-795-9615",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CUTIS CENTER FOR DERMATOLOGY AND AESTHETICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-07",
"last_updated": "2024-06-11",
"certification_date": "2024-06-11",
"status": "A",
"authorized_official_last_name": "LOVATO",
"authorized_official_first_name": "JANET",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "877-443-9337"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.