Compassion Dental 06032 LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

COMPASSION DENTAL 06032 LLC

Practice address

218 Main St
Farmington, CT 06032-2959

Phone

(860) 470-3660

NPI assigned

Aug 16, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer A Diederich, DDSNPI 1356330344

Title

Authorized Official

Phone

(860) 645-0111

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jennifer A Diederich, DMD

  • General Practice Dentistry
  • Farmington, CT
  • NPI 1356330344
  NPD Authorized official

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1225756125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 MAIN ST",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 MAIN ST",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322959",
            "telephone_number": "860-470-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSION DENTAL 06032 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "DIEDERICH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "860-645-0111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Siobhan Collins, MD
• Katelyn Marie Colosi, PA-C
• Katherine Colty, LCSW
• Community Residences, Inc.
• Companions and Homemakers, Inc
• Compassion Dental 06032 LLC
• Complete Chiropractic Care, LLC
• Pattilynn Conard
• Daniel Condit
• Connectic Ut Mental Health Services

• Dental Clinic/Center in Farmington, CT
• Providers in Farmington, CT by specialty
• Dental Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.