RENASCANCE DERMATOLOGY PC
NPI 1457796641
Dermatology in Fairfax, VA

Active since May 01, 2013
3620 JOSEPH SIEWICK DR, SUITE 303, FAIRFAX, VA 22033(703) 865-6783(703) 865-6784 Get Directions Write a Review

NPPES record last updated: May 1, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Renascance Dermatology Pc NPPES

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

RENASCANCE DERMATOLOGY PC (NPI 1457796641) is a healthcare organization registered as a dermatology in Fairfax, Virginia and active in the NPI registry since May 2013. The organization lists Dwana Rashad Shabazz, Owner, as its authorized official.

NPPES Registry Identity

NPI1457796641
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameRENASCANCE DERMATOLOGY PC
Location Address3620 JOSEPH SIEWICK DR, SUITE 303Fairfax, VA 22033-1756
Mailing Address3620 Joseph Siewick Dr, Suite 303Fairfax, VA 22033-1756 · (703) 865-6783 · Fax (703) 865-6784
Fax(703) 865-6784
Organization SubpartNo
Authorized OfficialDwana Rashad ShabazzOwner · (703) 865-6783
Enumeration DateMay 1, 2013
NPI 1457796641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in VA · 0101240235
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.
3620 JOSEPH SIEWICK DR, Fairfax, VA 22033

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

Other Providers at the Same Location NPPES 20

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

Obstetrics & Gynecology
3620 JOSEPH SIEWICK DR, 400
FAIRFAX, VA 22033
Nurse Practitioner (Adult Health)
3620 JOSEPH SIEWICK DR, SUITE 307
FAIRFAX, VA 22033
Physician Assistant (Medical)
3620 JOSEPH SIEWICK DR, STE 100
FAIRFAX, VA 22033
Podiatrist (Foot & Ankle Surgery)
3620 JOSEPH SIEWICK DR, 303
FAIRFAX, VA 22033
Orthopaedic Surgery
3620 JOSEPH SIEWICK DR, SUITE 100
FAIRFAX, VA 22033
Internal Medicine (Rheumatology)
3620 JOSEPH SIEWICK DR, SUITE 401
FAIRFAX, VA 22033
Internal Medicine
3620 JOSEPH SIEWICK DR, SUITE 306
FAIRFAX, VA 22033
Physical Therapist
3620 JOSEPH SIEWICK DR, SUITE 201
FAIRFAX, VA 22033

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 Renascance Dermatology PC's NPI number?

The NPI number for Renascance Dermatology PC is 1457796641. It was assigned to this organization in the NPPES registry on May 1, 2013.

Where is Renascance Dermatology PC located?

Renascance Dermatology PC is located at 3620 Joseph Siewick Dr Suite 303, Fairfax, VA 22033. The listed phone number is (703) 865-6783.

What is Renascance Dermatology PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Renascance Dermatology PC was last updated on May 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.