Organization Active NPI

Marissa N. Cooper D.M.D., P.a.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Weston, FL
National Provider Identifier
1194200840
Registry record updated Sep 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
MARISSA N. COOPER D.M.D., P.A.
Practice address
1600 Town Center Cir Ste a
Weston, FL 33326-3641
Phone
(954) 389-1002
NPI assigned
Sep 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2018

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

Authorized official

Name
Dr. Marissa Nicole Cooper, DMD
Title
President
Phone
(772) 215-3555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

1600 Town Center Cir Ste a
Weston, FL 33326-3641

Mailing address

10651 SW 55TH St
Cooper City, FL 33328-5856
Phone (772) 215-3555

Other names 1

  • Marchetto Cooper Orthodontics Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538092800000",
    "number": "1194200840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10651 SW 55TH ST",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333285856",
            "telephone_number": "772-215-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 TOWN CENTER CIR STE A",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263641",
            "telephone_number": "954-389-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARISSA N. COOPER D.M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-28",
        "last_updated": "2018-09-28",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-215-3555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marchetto Cooper Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; 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.