Active NPI
Melissa Marie Fallon, D.D.S.
- Dentist
- Orchard Park, NY
National Provider Identifier
1003047309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 054497-1
- Practice address
- 3326 Southwestern Blvd
Orchard Park, NY 14127-1524 - Phone
- (716) 677-4255
- NPI assigned
- Aug 4, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3928 | WV | |
| Dentist | 122300000X | 054497-1 | NY | Primary |
| Dentist | 122300000X | WV3928 | WV |
Addresses
Primary practice location
3326 Southwestern Blvd
Orchard Park, NY 14127-1524
Mailing address
3326 Southwestern Blvd
Orchard Park, NY 14127-1524
Phone (716) 677-4255
Other names 1
- Dr. Melissa Marie Warhol
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151221001851 | NY | Practitioner - Oral Surgery | 8527370683 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 054497-1 | NY | MD | Dentist |
| WV3928 | WV | MD | Dentist |
| 3928 | WV | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Dental Associates PLLC | Past | Accepting new patients | |
| Michael F Trent & Michael J Meador DDS Inc | Dentist | Past | Accepting new patients |
| DRS Wilson and Martino of Fairmont, PLLC | Dentist | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Dentistry
- Williamsville, NY
- NPI 1144730649
-
- Dentist
- Fairmont, WV
- NPI 1831380443
-
- Dentist
- Fairmont, WV
- NPI 1598851958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769385600000",
"number": "1003047309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3326 SOUTHWESTERN BLVD",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141271524",
"telephone_number": "716-677-4255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3326 SOUTHWESTERN BLVD",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141271524",
"telephone_number": "716-677-4255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALLON",
"first_name": "MELISSA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-04",
"last_updated": "2026-01-26",
"certification_date": "2026-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WV",
"license": "3928",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "054497-1",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WV",
"license": "WV3928",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "WARHOL",
"middle_name": "MARIE",
"prefix": "DR.",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Orchard Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.