Organization Active NPI

Cutis Center for Dermatology and Aesthetics LLC

  • Dermatology Physician
  • Alexandria, VA
National Provider Identifier
1962260711
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
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

Updated by the provider on Jun 11, 2024

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)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20240430003420 DC Part B Supplier - Clinic/Group Practice 7618317249 Receives reassigned benefits from 1 practitioner
Practice locations: Alexandria, VA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.