1. Home
  2. Directory
  3. Massachusetts
  4. Melrose
  5. Dentist
  6. NPI Profile

MELROSE WAKEFIELD ORAL SURGERY INC.
NPI 1568409902
Dentist - Oral and Maxillofacial Surgery in Melrose, MA

Active since June 02, 2006
810 MAIN ST, MELROSE, MA 02176(781) 662-6228(781) 662-4455 Get Directions Write a Review

NPPES record last updated: April 1, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Melrose Wakefield Oral Surgery Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELROSE WAKEFIELD ORAL SURGERY INC. (NPI 1568409902) is a healthcare organization registered as an oral and maxillofacial surgery in Melrose, Massachusetts and active in the NPI registry since June 2006. The organization lists Janet Nightingale, Manager, as its authorized official.

NPPES Registry Identity

NPI1568409902
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameMELROSE WAKEFIELD ORAL SURGERY INC.
Location Address810 MAIN STMelrose, MA 02176-2711
Mailing Address810 Main StMelrose, MA 02176-2711 · (781) 662-6228 · Fax (781) 662-4455
Phone(781) 662-6228
Fax(781) 662-4455
Organization SubpartNo
Authorized OfficialJanet NightingaleManager · (781) 662-6228
Enumeration DateJune 2, 2006
Last NPPES UpdateApril 1, 2015
✔ NPI 1568409902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
810 MAIN ST, Melrose, MA 02176
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellSense Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melrose Wakefield Oral Surgery Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Melrose Wakefield Oral Surgery Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Melissa Lackey, D.M.D.,M.D.
Oral Surgery
NPI 1386635514
810 MAIN ST
Melrose, MA 02176
(781) 662-6228
✔ PECOSSame address
Ilya Garibyan, DMD
Oral Surgery
NPI 1588079370
810 MAIN ST
Melrose, MA 02176
(781) 662-6228
✔ PECOSSame address
Mary E Dipirro, DDS
Oral Surgery
NPI 1437350675
6 ESSEX DR #112
Peabody, MA 01960
(978) 531-1450
✔ PECOS✔ Accepts Medicare7.8 mi
Bart Blaeser, D.M.D., M.D.
Oral Surgery
NPI 1477544609
6 ESSEX CENTER DR SUITE 112
Peabody, MA 01960
(978) 531-1450
✔ PECOS7.8 mi
Jose Marchena, DMD,MD
Oral Surgery
NPI 1710962931
6 ESSEX CENTER DR
Peabody, MA 01960
(978) 531-1450
✔ PECOS✔ Accepts Medicare7.8 mi
Paul Gordon, DMD, M.D.
Maxillofacial Surgery
NPI 1164448171
77 S BEDFORD ST STE 100
Burlington, MA 01803
(781) 272-0800
✔ PECOS8.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melrose Wakefield Oral Surgery Inc.'s NPI number?

The NPI number for Melrose Wakefield Oral Surgery Inc. is 1568409902. It was assigned to this organization in the NPPES registry on June 2, 2006.

Where is Melrose Wakefield Oral Surgery Inc. located?

Melrose Wakefield Oral Surgery Inc. is located at 810 Main St, Melrose, MA 02176. The listed phone number is (781) 662-6228.

What is Melrose Wakefield Oral Surgery Inc.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Melrose Wakefield Oral Surgery Inc. enrolled in Medicare?

Yes. Melrose Wakefield Oral Surgery Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Melrose Wakefield Oral Surgery Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Melrose Wakefield Oral Surgery Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Oral Surgery (5) and Maxillofacial Surgery (1). Of these, 2 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Melrose Wakefield Oral Surgery Inc. accept?

Health plans from WellSense Health Plan list Melrose Wakefield Oral Surgery Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Melrose Wakefield Oral Surgery Inc. was last updated on April 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.