OrganizationActive
Renascance Dermatology PC
NPI 1457796641 · Dermatology Physician · Fairfax, VA
Provider details
- NPI number
- 1457796641
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dwana Shabazz, Owner(703) 865-6783
- License
- 0101240235 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
3620 Joseph Siewick Dr
Suite 303
Fairfax, VA 22033-1756
Phone: (703) 865-6783
Fax: (703) 865-6784
Street-level locationGet directions
Mailing address
3620 Joseph Siewick Dr
Fairfax, VA 22033-1756
Registry dates
- Enumerated
- 2013-05-01
- Last updated
- 2013-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.