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DISTINCTIVE DERMATOLOGY PLLC
NPI 1386481109
Dermatology in Vienna, VA

Active since July 09, 2024CLIA 49D2308074 · Microscopy
8603 WESTWOOD CENTER DR STE 320, VIENNA, VA 22182(703) 570-1192(703) 382-6654 Get Directions Write a Review

NPPES record last updated: January 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 2, 2025, Aug 5, 2024, Jul 9, 2024 (3 updates tracked since 2024).

About Distinctive Dermatology Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DISTINCTIVE DERMATOLOGY PLLC (NPI 1386481109) is a healthcare organization registered as a dermatology in Vienna, Virginia and active in the NPI registry since July 2024. The organization holds a CLIA Microscopy certificate valid through July 21, 2028, maintains a secondary practice location in Vienna, and lists Amber Atwater, Manager, as its authorized official.

NPPES Registry Identity

NPI1386481109
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDISTINCTIVE DERMATOLOGY PLLC
Location Address8603 WESTWOOD CENTER DR STE 320Vienna, VA 22182-2230
Mailing AddressPo Box 64Great Falls, VA 22066-0064 · (703) 570-1192
Phone(703) 570-1192
Fax(703) 382-6654
Organization SubpartNo
Authorized OfficialAmber AtwaterManager · (919) 239-0126
Enumeration DateJuly 9, 2024
Last NPPES UpdateJanuary 2, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2025
✔ NPI 1386481109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
8603 WESTWOOD CENTER DR STE 320, Vienna, VA 22182
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Secondary Practice Location 1

Location 18605 Westwood Center Dr Ste 201Vienna, VA 22182-2231 · Phone (703) 570-1192

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 49D2308074

Distinctive Dermatology PLLC · Vienna, VA
Active · expires Jul 21, 2028
CLIA Number49D2308074
Laboratory TypePhysician Office
Certificate Effective DateJuly 22, 2026
Certificate Expiration DateJuly 21, 2028
Laboratory DirectorAmber R. Atwater
Laboratory Phone(703) 570-1192
Laboratory LocationDistinctive Dermatology PLLC8603 Westwood Center Drive, Suite 320, Vienna, VA 22182
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMBER R ATWATER M.D.
Dermatology
8603 WESTWOOD CENTER DR STE 320
VIENNA, VA 22182
Fairfax County (703) 570-1192

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Distinctive Dermatology PLLC's NPI number?

The NPI number for Distinctive Dermatology PLLC is 1386481109. It was assigned to this organization in the NPPES registry on July 9, 2024.

Where is Distinctive Dermatology PLLC located?

Distinctive Dermatology PLLC is located at 8603 Westwood Center Dr Ste 320, Vienna, VA 22182. The listed phone number is (703) 570-1192.

What is Distinctive Dermatology PLLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Distinctive Dermatology PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 49D2308074) is associated with this NPI, valid through July 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Distinctive Dermatology PLLC was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.