FOREFRONT DERMATOLOGY, S.C. — NPI 1073805222 (Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist) in CHILTON, WI)

CMS-1500 Box 24J / 33a • NPI

1073805222

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

207N00000X (CMS 07)

Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist)

Box 32 Service Location & ZIP+4

451 E BROOKLYN ST, STE. 5, CHILTON, WI, 53014

Official NPPES Practice Location

Practice Phone & Referral Fax

(920) 849-2100

Fax: (920) 849-9748

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1073805222 (FOREFRONT DERMATOLOGY, S.C.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1073805222` (NPI-2 Organization / Facility)
Provider / Legal Name	FOREFRONT DERMATOLOGY, S.C.
Plain-English Specialty	Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist) NUCC Code: `207N00000X` (Dermatology)
Certifying / Licensing Body	American Board of Dermatology (ABD)
Practice Location Address	451 E BROOKLYN ST, STE. 5, CHILTON, WI, 53014
Practice Telephone / Fax	Tel: (920) 849-2100 \| Fax: (920) 849-9748
Administrative Mailing Address	801 YORK ST, MANITOWOC, WI, 54220-4630
Enumeration & Last Sync	Enumerated: 2011-05-06 \| CMS Record Updated: 2020-05-28
Authorized Official	BETSY WERNLI (President)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

451 E BROOKLYN ST, STE. 5, CHILTON, WI, 53014

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Plain-English Taxonomy & CMS Crosswalk (207N00000X)

What Does Taxonomy Code 207N00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207N00000X translates to:
"Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 07 (Physician/Dermatology)
Certifying / Accrediting Authority: American Board of Dermatology (ABD)
Clinical Scope: Changing moles, skin rashes, severe acne, eczema, psoriasis, fungal infections, hair loss, or skin cancer checks.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (FOREFRONT DERMATOLOGY, S.C.)

Typical CPT / Diagnostic Procedures:

Full-Body Dermoscopy & Skin Cancer Screening
Shave, Punch & Excisional Skin Biopsy (CPT 11102–11107)
Cryotherapy Destruction of Actinic Keratoses & Viral Warts (CPT 17000)

Common Therapeutic Classes:

Topical Corticosteroids (Triamcinolone, Clobetasol) & Calcineurin Inhibitors
Topical & Oral Retinoids (Tretinoin, Adapalene, Isotretinoin)
Doxycycline, Minocycline & Antifungals (Terbinafine, Ketoconazole)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207NS0135X` — Dermatology, Procedural Dermatology Plain English: Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist)	State: N/A \| License: `Verified` \| Primary: Secondary
`207N00000X` — Dermatology Plain English: Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist)	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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FOREFRONT DERMATOLOGY, S.C. (NPI #1073805222)