Marisa Werger, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DEN.00205804 Issued in CO

Practice address

3221 Eastbrook Dr Ste a-101
Fort Collins, CO 80525-5705

Phone

(970) 407-1020

NPI assigned

Jun 23, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Marisa Moret Moret Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Big Grins PC

  • Pediatric Dentistry
  • Ft. Collins, CO
  • NPI 1912167172
  NPD

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738454400000",
    "number": "1023749660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 SILVER SPRING AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104661",
            "telephone_number": "970-214-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 EASTBROOK DR STE A-101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255705",
            "telephone_number": "970-407-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERGER",
        "first_name": "MARISA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-23",
        "last_updated": "2025-02-02",
        "certification_date": "2025-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "DEN.00205804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISA",
            "last_name": "MORET",
            "middle_name": "MORET",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wellspring Psychotherapy LLC
• Joan R Welsh, PHD
• Victoria Welsh, DDS
• Carolyn Welther Reynolds, PA-C
• Karen Esther Wente, LCSW,
• Pam Werner-Salsbury, LMT
• Joshua Thomas Werner, DC
• Kelsey Werth, R.D.
• Jocelyn Wertz
• Curtis Lee Weseloh, D.C.

• Pediatric Dentistry in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Pediatric Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.