Dermatology Direct LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMATOLOGY DIRECT LLC

Practice address

20 N Grand Ave Ste 8
Fort Thomas, KY 41075-1755

Phone

(859) 712-3007

Fax

(859) 712-3007

NPI assigned

Sep 26, 2026

Last updated

Sep 26, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jennifer Martin, MD, FAAD

Title

Owner/Dermatologist

Phone

(615) 500-3151

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790380800000",
    "number": "1386557601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 N GRAND AVE STE 8",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410751755",
            "telephone_number": "859-712-3007",
            "fax_number": "859-712-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N GRAND AVE STE 8",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410751755",
            "telephone_number": "859-712-3007",
            "fax_number": "859-712-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY DIRECT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-26",
        "last_updated": "2026-09-26",
        "certification_date": "2026-09-26",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/DERMATOLOGIST",
        "authorized_official_telephone_number": "615-500-3151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, FAAD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Fort Thomas, KY
• Providers in Fort Thomas, KY by specialty
• Dermatology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.