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PRECISION DERMATOLOGY AND SKIN CANCER CENTER LLC
NPI 1427844216
Dermatology in Prairie Village, KS

Active since April 17, 2025CLIA 17D2326824 · Certificate of Compliance
9009 ROE AVE, PRAIRIE VILLAGE, KS 66207(913) 303-7377 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Precision Dermatology And Skin Cancer Center Llc NPPES

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

PRECISION DERMATOLOGY AND SKIN CANCER CENTER LLC (NPI 1427844216) is a healthcare organization registered as a dermatology in Prairie Village, Kansas and active in the NPI registry since April 2025. The organization holds a CLIA Certificate of Compliance certificate valid through January 14, 2028 and lists Isadore Tarantino, Owner, as its authorized official.

NPPES Registry Identity

NPI1427844216
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NamePRECISION DERMATOLOGY AND SKIN CANCER CENTER LLC
Location Address9009 ROE AVEPrairie Village, KS 66207-2202
Mailing Address9009 Roe AvePrairie Village, KS 66207-2202 · (913) 303-7377
Phone(913) 303-7377
Organization SubpartNo
Authorized OfficialIsadore TarantinoOwner · (913) 303-7377
Enumeration DateApril 17, 2025
Last NPPES UpdateJune 23, 2025
NPPES CertifiedJune 23, 2025
✔ NPI 1427844216 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.
9009 ROE AVE, Prairie Village, KS 66207
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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 Compliance 17D2326824

Precision Dermatology And Skin Cancer Center · Prairie Village, KS
Active · expires Jan 14, 2028
CLIA Number17D2326824
Laboratory TypePhysician Office
Certificate Effective DateJanuary 15, 2026
Certificate Expiration DateJanuary 14, 2028
Laboratory DirectorIsadore S. Tarantino
Laboratory Phone(913) 303-7377
Laboratory LocationPrecision Dermatology And Skin Cancer Center9009 Roe, Prairie Village, KS 66207
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 5

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

JEFFREY M BRICK MD
Ophthalmology
9009 ROE AVE
PRAIRIE VILLAGE, KS 66207
Johnson County (913) 385-9009
DR. STEPHEN URBAN STECHSCHULTE MD
Ophthalmology
9009 ROE AVE
PRAIRIE VILLAGE, KS 66207
Johnson County (913) 385-9009
KC EYE SPECIALISTS MDS PC
Ophthalmology
9009 ROE AVE
PRAIRIE VILLAGE, KS 66207
Johnson County (913) 385-9009
CHELSEY TARANTINO
Nurse Practitioner (Gerontology)
9009 ROE AVE
PRAIRIE VILLAGE, KS 66207
Johnson County (913) 303-7377
DR. KENNETH CRAIG PLACE M.D.
Ophthalmology
9009 ROE AVE
PRAIRIE VILLAGE, KS 66207
Johnson County (913) 385-9009

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 Precision Dermatology And Skin Cancer Center LLC's NPI number?

The NPI number for Precision Dermatology And Skin Cancer Center LLC is 1427844216. It was assigned to this organization in the NPPES registry on April 17, 2025.

Where is Precision Dermatology And Skin Cancer Center LLC located?

Precision Dermatology And Skin Cancer Center LLC is located at 9009 Roe Ave, Prairie Village, KS 66207. The listed phone number is (913) 303-7377.

What is Precision Dermatology And Skin Cancer Center LLC's specialty?

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

Does Precision Dermatology And Skin Cancer Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 17D2326824) is associated with this NPI, valid through January 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Precision Dermatology And Skin Cancer Center LLC was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.