Precision Dermatology and Skin Cancer Center LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

PRECISION DERMATOLOGY AND SKIN CANCER CENTER LLC

Practice address

9009 Roe Ave
Prairie Village, KS 66207-2202

Phone

(913) 303-7377

NPI assigned

Apr 17, 2025

Organization subpart

No

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

Authorized official

Name

Isadore Tarantino, MDNPI 1689036261

Title

Owner

Phone

(913) 303-7377

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Isadore Tarantino

  • Dermatology Physician
  • Saint Joseph, MO
  • NPI 1689036261

  KS

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1744848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750636800000",
    "number": "1427844216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9009 ROE AVE",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662072202",
            "telephone_number": "913-303-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9009 ROE AVE",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662072202",
            "telephone_number": "913-303-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION DERMATOLOGY AND SKIN CANCER CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-17",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A",
        "authorized_official_last_name": "TARANTINO",
        "authorized_official_first_name": "ISADORE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-303-7377",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Anne Porter, M.D.
• Shantisha Porter
• Possabilities, Inc
• Prairie Village Chiropractic, PA
• Aakshi Prakash
• Twila L Preston, PHD
• Chelsea Morey Pritchett, DPT
• Jessica Provost, RD, LD
• Sara Purscell, OTP
• PV Dental, LLC

• Dermatology Physician in Prairie Village, KS
• Providers in Prairie Village, KS by specialty
• Dermatology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.

Verify at the official NPI Registry.