Diederich DMD, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DIEDERICH DMD, PLLC

Practice address

668 E 12225 S Ste 101
Draper, UT 84020-7310

Phone

(801) 762-8920

NPI assigned

Jul 22, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Nik Diederich, DMD

Title

Owner

Phone

(801) 931-8322

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.

• Nikolas Kenneth Diederich, DMD

  • Dentist
  • Draper, UT
  • NPI 1154175818
  NPD

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

{
    "created_epoch": "1753142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1417839515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 E 12225 S STE 101",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207310",
            "telephone_number": "801-762-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 E 12225 S STE 101",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207310",
            "telephone_number": "801-762-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIEDERICH DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-22",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "DIEDERICH",
        "authorized_official_first_name": "NIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-931-8322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylee Denning
• Madison Shirley Densley, LCSW
• Michael Charles Desjardins, MSN, APRN
• Alexus Desmarais
• Nikolas Dewinne, PT, DPT
• Nikolas Kenneth Diederich, DMD
• Christina Dietz, CMHC
• Dill Holdings LLC
• Katelyn Dilley
• David P Dimarzio, RPH

• Dentist in Draper, UT
• Providers in Draper, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.