Active NPI
Forefront Dermatology, S.C.
Doing business as Laing Dermatology, A Forefront Dermatology Practice
- Dermatology Physician
- Knightdale, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- FOREFRONT DERMATOLOGY, S.C.
- Doing business as
- Laing Dermatology, A Forefront Dermatology Practice
- Practice address
- 6807 Knightdale Blvd Ste C
Knightdale, NC 27545-6563 - Phone
- (919) 217-5510
- Fax
- (919) 217-5501
- NPI assigned
- Apr 18, 2019
- Last updated
- Jan 6, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Denise Anger
- Title
- Sr. Director, Provider Enrollment
- Phone
- (920) 663-9022
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | NU | Primary | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | NU | ||
| Procedural Dermatology Physician | 207NS0135X | NU |
Addresses
Primary practice location
6807 Knightdale Blvd Ste C
Knightdale, NC 27545-6563
Mailing address
801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008
Other names 1
- Laing Dermatology, A Forefront Dermatology Practice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180821002003 | NC | Part B Supplier - Clinic/Group Practice | 3779471701 |
Receives reassigned benefits from 22 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Nags Head, NC; Knightdale, NC; Kitty Hawk, NC; Holly Springs, NC; Goldsboro, NC; Elizabeth City, NC; Charlotte, NC; Cary, NC |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2014725 | Forefront Dermatology, SC | Compliance | Mar 5, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dermatology Physician
- Knightdale, NC
- NPI 1396242244
-
- Physician Assistant
- Knightdale, NC
- NPI 1952958548
-
- Dermatology Physician
- Milwaukee, WI
- NPI 1770748303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672963200000",
"number": "1083277735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 YORK ST",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542204630",
"telephone_number": "920-663-9008",
"fax_number": "920-684-1439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6807 KNIGHTDALE BLVD STE C",
"city": "KNIGHTDALE",
"state": "NC",
"postal_code": "275456563",
"telephone_number": "919-217-5510",
"fax_number": "919-217-5501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOREFRONT DERMATOLOGY, S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-18",
"last_updated": "2023-01-06",
"certification_date": "2023-01-06",
"status": "A",
"authorized_official_last_name": "ANGER",
"authorized_official_first_name": "DENISE",
"authorized_official_title_or_position": "SR. DIRECTOR, PROVIDER ENROLLMENT",
"authorized_official_telephone_number": "920-663-9022"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Laing Dermatology, A Forefront Dermatology Practice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Knightdale, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.