Active NPI
Forefront Dermatology - Missouri, LLC
- Dermatology Physician
- Lebanon, MO
National Provider Identifier
1831014265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- FOREFRONT DERMATOLOGY - MISSOURI, LLC
- Practice address
- 331 Hospital Dr Ste C
Lebanon, MO 65536-9251 - Phone
- (417) 334-7200
- Fax
- (417) 334-7299
- NPI assigned
- Aug 13, 2026
- 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
- Delegated Official
- Phone
- (920) 663-9022
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary | ||
| MOHS-Micrographic Surgery Physician | 207ND0101X | |||
| Procedural Dermatology Physician | 207NS0135X |
Addresses
Primary practice location
331 Hospital Dr Ste C
Lebanon, MO 65536-9251
Mailing address
801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008
Other names 1
- Swann Dermatology Partners, A Forefront Dermatology Practice
National Provider Directory
National Provider Directory- Tax ID family
- Forefront Dermatology - Missouri LLC
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dermatology Physician
- Springfield, MO
- NPI 1376468728
-
- Dermatology Physician
- Monett, MO
- NPI 1477478808
-
- Dermatology Physician
- Branson, MO
- NPI 1609791037
-
- Dermatology Physician
- Springfield, MO
- NPI 1710802061
-
- Dermatology Physician
- Springfield, MO
- NPI 1922923283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786579200000",
"number": "1831014265",
"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": "331 HOSPITAL DR STE C",
"city": "LEBANON",
"state": "MO",
"postal_code": "655369251",
"telephone_number": "417-334-7200",
"fax_number": "417-334-7299"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOREFRONT DERMATOLOGY - MISSOURI, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-13",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"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": "Swann Dermatology Partners, A Forefront Dermatology Practice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lebanon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.