Forefront Dermatology - Kansas, PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

FOREFRONT DERMATOLOGY - KANSAS, PA

Doing business as

Wichita Dermatology & Aesthetics, A Forefront Dermatology Practice

Practice address

4013 N Ridge Rd Ste 120
Wichita, KS 67205-8826

Phone

(316) 682-7546

Fax

(316) 682-7554

NPI assigned

Sep 17, 2025

Organization subpart

No

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

Authorized official

Name

Denise Anger

Title

Delegated Official

Phone

(920) 663-9022

Specialties & licenses 3

Addresses

Other names 1

• Wichita Dermatology & Aesthetics, A Forefront Dermatology Practice Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Forefront Dermatology - Kansas, PA

  • Dermatology Physician
  • Wichita, KS
  • NPI 1760353197

  O20260408003954

  Same enrollment

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

CLIA laboratory certificates

Tax ID family

Forefront Dermatology - Kansas PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Forefront Dermatology - Kansas, PA

  • Dermatology Physician
  • Wichita, KS
  • NPI 1760353197
  NPD tax ID

Locations

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

{
    "created_epoch": "1758067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1659242097",
    "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": "4013 N RIDGE RD STE 120",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672058826",
            "telephone_number": "316-682-7546",
            "fax_number": "316-682-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREFRONT DERMATOLOGY - KANSAS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-17",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "ANGER",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "920-663-9022"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wichita Dermatology & Aesthetics, A Forefront Dermatology Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nikolas D Ford, PA
• Randall Eugene Ford, PA-C
• Ryan Ford
• Forefront Dermatology - Kansas, PA
• Christina Marie Foreman, PT
• Destiny Danielle Forge, LPC
• John K Forge, M.D.
• Form Associates, P.a.

• Dermatology Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Dermatology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.