Marissa Woolley, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

45054 Issued in CA

Practice address

9355 Chapman Ave Ste 100
Garden Grove, CA 92841-2536

Phone

(714) 539-9529

Fax

(714) 539-5252

NPI assigned

Oct 27, 2006

Sex

Female

Sole proprietor

Yes

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497830251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9355 CHAPMAN AVE STE 100",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928412536",
            "telephone_number": "714-539-9529",
            "fax_number": "714-539-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9355 CHAPMAN AVE STE 100",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928412536",
            "telephone_number": "714-539-9529",
            "fax_number": "714-539-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLLEY",
        "first_name": "MARISSA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Wood
• Madeline Wood
• Traci Mariko Wood, AMFT
• Imani Woodley
• Isaiah Woodward-Newton
• Meia Tiana Hirsch Woosley
• Kameron Wooten
• Julie Wooton
• Jacqueline Josephine Anne Worley
• Hannah Worthington

• General Practice Dentistry in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.