SKINDC PLLC
NPI 1558804625
Dermatology in Arlington, VA

Active since November 22, 2016CLIA 49D2136082 · Waiver
1525 WILSON BLVD, SUITE 125, ARLINGTON, VA 22209(703) 966-7127(844) 357-7049 Get Directions Write a Review

NPPES record last updated: November 22, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Skindc Pllc NPPES

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

SKINDC PLLC (NPI 1558804625) is a healthcare organization registered as a dermatology in Arlington, Virginia and active in the NPI registry since November 2016. The organization holds a CLIA Waiver certificate valid through August 31, 2027 and lists Terrence Keaney, Owner, as its authorized official.

NPPES Registry Identity

NPI1558804625
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSKINDC PLLC
Location Address1525 WILSON BLVD, SUITE 125Arlington, VA 22209-2411
Mailing Address1525 Wilson Blvd, Suite 125Arlington, VA 22209-2411 · (703) 966-7127 · Fax (844) 357-7049
Fax(844) 357-7049
Organization SubpartNo
Authorized OfficialTerrence KeaneyOwner · (703) 966-7127
Enumeration DateNovember 22, 2016
NPI 1558804625 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.

1525 WILSON BLVD, Arlington, VA 22209

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 of Waiver 49D2136082

Skindc PLLC · Arlington, VA
Active · expires Aug 31, 2027
CLIA Number49D2136082
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2025
Certificate Expiration DateAugust 31, 2027
Laboratory DirectorTerrence C. Keaney
Laboratory Phone(703) 966-7127
Laboratory LocationSkindc PLLC1525 Wilson Boulevard - Suite 125, Arlington, VA 22209
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Pharmacist
1525 WILSON BLVD
ARLINGTON, VA 22209
Pharmacist
1525 WILSON BLVD
ARLINGTON, VA 22209
Pharmacist
1525 WILSON BLVD
ARLINGTON, VA 22209

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558804625, enumerated as an "organization" on November 22, 2016.

The provider is located at 1525 WILSON BLVD SUITE 125 ARLINGTON, VA 22209 and the phone number is (703) 966-7127.

Dermatology with taxonomy code 207N00000X.