Compassion Dental 06032 LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

7122 Issued in CT

Legal business name

COMPASSION DENTAL 06032 LLC

Practice address

218 Main Street
Farmington, CT 06032-3623

Phone

(860) 470-3660

Fax

(860) 404-5642

NPI assigned

Oct 22, 2012

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, DMDNPI 1356330344

Title

Authorized Official

Phone

(860) 470-3660

Specialties & licenses 1

Addresses

Other names 1

• ComPassion Dental Doing business as

Locations

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": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1417200932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 MAIN STREET",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060323623",
            "telephone_number": "860-470-3660",
            "fax_number": "860-404-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 MAIN STREET",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060323623",
            "telephone_number": "860-470-3660",
            "fax_number": "860-404-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSION DENTAL 06032 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "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": "860-470-3660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CT",
            "license": "7122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ComPassion Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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
• Connecticut Childrens Eye Care PC

• 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 Jan 30, 2023; 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.