DYERSBURG SKIN CLINIC
NPI 1740483692
Dermatology in Dyersburg, TN
About Dyersburg Skin Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DYERSBURG SKIN CLINIC (NPI 1740483692) is a healthcare organization registered as a dermatology in Dyersburg, Tennessee and active in the NPI registry since June 2007. The organization lists Denise Ann Horner, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dyersburg Skin Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Dyersburg Skin Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Forrest Kenton Busch, D.O. P.C.'s NPI number?
The NPI number for Forrest Kenton Busch, D.O. P.C. is 1740483692. It was assigned to this organization in the NPPES registry on June 7, 2007. The provider is doing business as Dyersburg Skin Clinic.
Where is Forrest Kenton Busch, D.O. P.C. located?
Forrest Kenton Busch, D.O. P.C. is located at 1950 Cook St, Dyersburg, TN 38024. The listed phone number is (731) 286-4300.
What is Forrest Kenton Busch, D.O. P.C.'s specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Forrest Kenton Busch, D.O. P.C. enrolled in Medicare?
Yes. Forrest Kenton Busch, D.O. P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Forrest Kenton Busch, D.O. P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Forrest Kenton Busch, D.O. P.C., in Family Practice and Nurse Practitioner. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Forrest Kenton Busch, D.O. P.C. was last updated on September 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Dyersburg Skin Clinic · NPI 1740483692
Dermatology organization in Dyersburg, Tennessee. Organization record, active in the CMS NPPES registry since June 7, 2007.
## Identity
- **NPI:** 1740483692 (Entity type: Organization)
- **Enumerated:** June 7, 2007
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Legal business name:** Forrest Kenton Busch, D.o. P.c.
- **Organization subpart:** No
- **Authorized official:** Denise Horner, OFFICE MANAGER
## Practice location
- **Address:** 1950 COOK ST, Dyersburg, TN 38024
- **Phone:** (731) 286-4300 · **Fax:** (731) 286-8008
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 10, 2015
- **Other identifiers:** Medicare UPIN E34164 (TN); Medicaid 3303355 (TN)
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Source: [NPI Profile](https://npiprofile.com/npi/1740483692) · Data from the CMS NPPES public registry.