FOREFRONT DERMATOLOGY - KANSAS, PA
NPI 1659242097
Dermatology in Wichita, KS

Active since September 17, 2025CLIA Certified · 2 labs
4013 N RIDGE RD STE 120, WICHITA, KS 67205(316) 682-7546(316) 682-7554 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 12, 2026, Apr 28, 2026, Sep 17, 2025 (3 updates tracked since 2025).

  • Organization
  • Dermatology
  • CLIA Number: 17D1064426
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-10-2028

About FOREFRONT DERMATOLOGY - KANSAS, PA

This page provides the complete NPI Profile along with additional information for Forefront Dermatology - Kansas, Pa, a provider established in Wichita, Kansas operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1659242097 assigned on September 2025. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated May 2026. Forefront Dermatology - Kansas, Pa operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Denise Anger (Delegated Official)

NPI
1659242097 Verify this NPI
Provider Name
FOREFRONT DERMATOLOGY - KANSAS, PA
Entity Type
Organization
Location Address
4013 N RIDGE RD STE 120 WICHITA, KS 67205
Location Phone
(316) 682-7546
Location Fax
(316) 682-7554
Mailing Address
801 YORK ST MANITOWOC, WI 54220
Mailing Phone
(920) 663-9008
Mailing Fax
(920) 684-1439
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-17-2025
Last Update Date
05-12-2026
Code Navigator

A dermatologist like Forefront Dermatology - Kansas, Pa is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology

Taxonomy Code
207N00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207ND0101XAllopathic & Osteopathic Physicians

Dermatology
MOHS-Micrographic Surgery

 
2207NS0135XAllopathic & Osteopathic Physicians

Dermatology
Procedural Dermatology

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DENISE ANGER

Authorized Official Title
DELEGATED OFFICIAL
Authorized Official Phone
(920) 663-9022

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
17D1064426
Facility Type
Physician Office
Certificate Effective Date
May 11, 2026
Certificate Expiration Date
May 10, 2028
Laboratory Director
LANDON M. JOHNSON
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Forefront Dermatology - Kansas, Pa after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659242097, enumerated as an "organization" on September 17, 2025.

The provider is located at 4013 N RIDGE RD STE 120 WICHITA, KS 67205 and the phone number is (316) 682-7546.

Dermatology with taxonomy code 207N00000X.