Active NPI
Marissa N. Cooper D.M.D., P.a.
Doing business as Marchetto Cooper Orthodontics
- Orthodontics and Dentofacial Orthopedics Dentistry
- Weston, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- MARISSA N. COOPER D.M.D., P.A.
- Doing business as
- Marchetto Cooper Orthodontics
- Practice address
- 1600 Town Center Cir Ste a
Weston, FL 33326-3641 - Phone
- (954) 389-1002
- NPI assigned
- Sep 28, 2018
- Last updated
- Sep 28, 2018
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Pembroke Pines, FL
- NPI 1912283136
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.