VIENNA DERMATOLOGY, LLC
NPI 1689076747
Clinic/Center in Vienna, VA

Active since September 20, 2014
410 MAPLE AVE W STE 3, VIENNA, VA 22180(703) 281-3626(703) 281-3615 Get Directions Write a Review

NPPES record last updated: September 20, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vienna Dermatology, Llc NPPES

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

VIENNA DERMATOLOGY, LLC (NPI 1689076747) is a healthcare organization registered as a clinic/center in Vienna, Virginia and active in the NPI registry since September 2014. The organization lists Mai Hoang Nguyen, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1689076747
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameVIENNA DERMATOLOGY, LLC
Location Address410 MAPLE AVE W STE 3Vienna, VA 22180-4224
Mailing Address410 Maple Ave W Ste 3Vienna, VA 22180-4224 · (703) 281-3626 · Fax (703) 281-3615
Fax(703) 281-3615
Organization SubpartNo
Authorized OfficialMai Hoang NguyenPhysician/owner · (703) 281-3626
Enumeration DateSeptember 20, 2014
NPI 1689076747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in VA · 0101244058
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
410 MAPLE AVE W STE 3, Vienna, VA 22180

Other Identifiers 1

Medicaid00A948510CA

Other Providers at the Same Location NPPES

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

Dermatology
410 MAPLE AVE W STE 3
VIENNA, VA 22180

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 Vienna Dermatology, LLC's NPI number?

The NPI number for Vienna Dermatology, LLC is 1689076747. It was assigned to this organization in the NPPES registry on September 20, 2014.

Where is Vienna Dermatology, LLC located?

Vienna Dermatology, LLC is located at 410 Maple Ave W Ste 3, Vienna, VA 22180. The listed phone number is (703) 281-3626.

What is Vienna Dermatology, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Vienna Dermatology, LLC was last updated on September 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.