KAREN DETTMER MD NPI 1154363430

NPI Information

  • NPI: 1154363430
  • Provider Name: KAREN DETTMER, MD
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Individual
  • Address: 20 FELICITY LN
    TORRINGTON, CT
    ZIP 06790
  • Phone: (860) 489-4144

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NPI Details

Karen Dettmer, MD is an adolescent medicine pediatrics in Torrington, CT. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. Karen Dettmer, MD NPI is 1154363430. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

20 FELICITY LN
TORRINGTON, CT
ZIP 06790-101
Phone: (860) 489-4144
Fax: (860) 489-4412

The enumeration date for this NPI number is 6/12/2006 and was last updated on 3/3/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080A0000XPediatricsAdolescent Medicine038261CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1001382613MEDICAIDCONNECTICUT
2370001575MEDICARE PINCONNECTICUT
3G82218MEDICARE UPINCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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