DR. JENNIFER A DIEDERICH DMD
NPI 1356330344
Dentist - General Practice in Farmington, CT

Active since October 21, 2005PECOS Enrolled
222 MAIN ST, PMB 251, FARMINGTON, CT 06032(860) 751-9209(860) 693-6309 Get Directions Write a Review

NPPES record last updated: September 30, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jennifer A Diederich Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JENNIFER A DIEDERICH DMD (NPI 1356330344) is an individual general practice provider in Farmington, Connecticut, licensed in Connecticut (007122) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356330344
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JENNIFER A DIEDERICHCredential: DMD
Location Address222 MAIN ST, PMB 251Farmington, CT 06032-3623
Mailing Address222 Main St, #251Farmington, CT 06032-3623 · (860) 470-3660 · Fax (860) 404-5642
Fax(860) 693-6309
Sole ProprietorNo
Enumeration DateOctober 21, 2005
Last NPPES UpdateSeptember 30, 2015
NPI 1356330344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CT · 007122
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
222 MAIN ST, Farmington, CT 06032

Other Names 1

Other Name (5)Dr. Jennifer A Diederich Dmd

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jennifer A Diederich Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
222 MAIN ST, STE 237
FARMINGTON, CT 06032
Durable Medical Equipment & Medical Supplies
222 MAIN ST, STE 244
FARMINGTON, CT 06032

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Diederich's NPI number?

The NPI number for Jennifer Diederich is 1356330344. It was assigned to this individual provider in the NPPES registry on October 21, 2005. The provider is also known as Dr. Jennifer A Diederich Dmd.

Where is Jennifer Diederich located?

Jennifer Diederich practices at 222 Main St Pmb 251, Farmington, CT 06032. The listed phone number is (860) 751-9209.

What is Jennifer Diederich's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jennifer Diederich enrolled in Medicare?

Yes. Jennifer Diederich is registered in the Medicare PECOS enrollment system.

What insurance does Jennifer Diederich accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Jennifer Diederich as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Diederich was last updated on September 30, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.