Marissa Cody, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1002708 Issued in WI

Practice address

8215 Greenway Blvd Ste 100
Middleton, WI 53562-3686

Phone

(608) 827-6453

NPI assigned

Sep 21, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1114698156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8215 GREENWAY BLVD STE 100",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623686",
            "telephone_number": "608-827-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8215 GREENWAY BLVD STE 100",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623686",
            "telephone_number": "608-827-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODY",
        "first_name": "MARISSA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1002708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Christianson, DMD
• City of Middleton
• Darrrius Clay
• Kathleen Clerkin, APNP
• Cliff Side Park Holdings, Inc.
• Katelyn Marie Coffren, PHARMD
• Shari Alene Cohn, LCSW
• Heather Marin Collins, PHARMD
• Lisa Keillor Collins, APNP
• Community Care Resources Inc

• General Practice Dentistry in Middleton, WI
• Providers in Middleton, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.