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PETIT DERMATOLOGY LLC
NPI 1447096540
Dermatology in Liberty Township, OH

Active since July 08, 2024
6770 CINCINNATI DAYTON RD STE 200, LIBERTY TOWNSHIP, OH 45044(330) 575-4674 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 19, 2024, Jul 8, 2024 (2 updates tracked since 2024).

About Petit Dermatology Llc NPPES

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

PETIT DERMATOLOGY LLC (NPI 1447096540) is a healthcare organization registered as a dermatology in Liberty Township, Ohio and active in the NPI registry since July 2024. The organization maintains a secondary practice location in Oakwood and lists Danielle Petit, Owner, as its authorized official.

NPPES Registry Identity

NPI1447096540
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NamePETIT DERMATOLOGY LLC
Location Address6770 CINCINNATI DAYTON RD STE 200Liberty Township, OH 45044-9319
Mailing Address6770 Cincinnati Dayton Rd Ste 200Liberty Township, OH 45044-9319 · (330) 575-4674
Phone(330) 575-4674
Organization SubpartNo
Authorized OfficialDanielle PetitOwner · (330) 575-4674
Enumeration DateJuly 8, 2024
Last NPPES UpdateAugust 19, 20242 updates tracked since enumeration
NPPES CertifiedAugust 19, 2024
✔ NPI 1447096540 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.
6770 CINCINNATI DAYTON RD STE 200, Liberty Township, OH 45044
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Secondary Practice Location 1

Location 1121 Forrer BlvdOakwood, OH 45419-3137 · Phone (330) 575-4674

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Petit Dermatology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Petit Dermatology LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Danielle Petit, M.D.
Dermatology
NPI 1841532348
6770 CINCINNATI DAYTON RD STE 200
Liberty Township, OH 45044
(513) 579-9191
✔ PECOS✔ Accepts MedicareSame address
Kristin Petit, MD
Dermatology
NPI 1114667581
6770 CINCINNATI DAYTON RD
Liberty Township, OH 45044
(513) 276-4981
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 36D2312139

Petit Dermatology LLC · Liberty Township, OH
Expired · Oct 3, 2026
CLIA Number36D2312139
Laboratory TypePhysician Office
Certificate Effective DateOctober 4, 2024
Certificate Expiration DateOctober 3, 2026
Laboratory DirectorDanielle Petit
Laboratory Phone(513) 276-4981
Laboratory LocationPetit Dermatology LLC6770 Cincinnati Dayton Road Suite 200, Liberty Township, OH 45044
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Petit Dermatology LLC's NPI number?

The NPI number for Petit Dermatology LLC is 1447096540. It was assigned to this organization in the NPPES registry on July 8, 2024.

Where is Petit Dermatology LLC located?

Petit Dermatology LLC is located at 6770 Cincinnati Dayton Rd Ste 200, Liberty Township, OH 45044. The listed phone number is (330) 575-4674.

What is Petit Dermatology LLC's specialty?

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

Is Petit Dermatology LLC enrolled in Medicare?

Yes. Petit Dermatology LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Petit Dermatology LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Petit Dermatology LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Petit Dermatology LLC was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.