OrganizationActive
Susan Canning
NPI 1104086289 · Medical Specialty Clinic/Center · Silver Spring, MD
Provider details
- NPI number
- 1104086289
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Susan Canning, Dermatologist(301) 933-1547
- License
- D0046170 (MD)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3925 Ferrara Dr
Silver Spring, MD 20906-4709
Phone: (301) 933-1547
Street-level locationGet directions
Mailing address
3925 Ferrara Dr
Silver Spring, MD 20906-4709
Registry dates
- Enumerated
- 2008-06-12
- Last updated
- 2008-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.