Active NPI
Christopher John Frost, M.D.
- Dermatology Physician
- Somerset, KY
National Provider Identifier
1063564011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 29366
- Practice address
- 120 Tradepark Dr
Suite B
Somerset, KY 42503-3454 - Phone
- (606) 679-9292
- Fax
- (606) 679-9294
- NPI assigned
- Jan 18, 2007
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 29366 | KY | Primary |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 29366 | KY | |
| Dermatopathology Physician | 207ND0900X | 29366 | KY | |
| Procedural Dermatology Physician | 207NS0135X | 29366 | KY |
Addresses
Primary practice location
120 Tradepark Dr
Suite B
Somerset, KY 42503-3454
Mailing address
120 Tradepark Dr
Suite B
Somerset, KY 42503-3454
Phone (606) 679-9292
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64293665 | Medicaid | KY | |
| 000000048630 | Other | ANTHEM | |
| 070007464 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29366 | KY | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1063564011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 TRADEPARK DR",
"address_2": "SUITE B",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425033454",
"telephone_number": "606-679-9292",
"fax_number": "606-679-9294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 TRADEPARK DR",
"address_2": "SUITE B",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425033454",
"telephone_number": "606-679-9292",
"fax_number": "606-679-9294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FROST",
"first_name": "CHRISTOPHER",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-18",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "KY",
"license": "29366",
"primary": true
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "KY",
"license": "29366",
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "KY",
"license": "29366",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "KY",
"license": "29366",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64293665",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000048630",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "070007464",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Somerset, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.