Melissa Ann Morley, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.024825 Issued in IL

Practice address

7562 Old Route 13
Marion, IL 62959-7776

Phone

(618) 993-8333

Fax

(618) 993-8335

NPI assigned

Feb 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 3

Other names 1

• Dr. Melissa Ann Porter Professional name

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• IL HMO C-SNP
• devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
• devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
• devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
• IA HMO C-SNP

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dental Safari Co Missouri, PC

  • Dentist
  • O'Fallon, MO
  • NPI 1811761190

  IL

  Medicare reassignment NPD
• Dental Safari Company, LTD

  • General Practice Dentistry
  • Marion, IL
  • NPI 1427357631
  NPD Authorized official
• Dental Safari Co Indiana, LLC

  • General Practice Dentistry
  • Brownsburg, IN
  • NPI 1669927786
  NPD (past) Authorized official

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1003954819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2314",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629022314",
            "telephone_number": "618-559-6662",
            "fax_number": "618-993-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7562 OLD ROUTE 13",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629597776",
            "telephone_number": "618-993-8333",
            "fax_number": "618-993-8335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7827 Town Square Ave Ste 104-1125",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "MO",
            "postal_code": "633687197",
            "country_code": "US",
            "telephone_number": "618-993-8333",
            "fax_number": "618-993-8335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1634 E Northfield Dr, Ste 500",
            "address_purpose": "LOCATION",
            "city": "Brownsburg",
            "state": "IN",
            "postal_code": "46112",
            "country_code": "US",
            "telephone_number": "618-993-8333",
            "fax_number": "618-993-8335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORLEY",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2023027809",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.024825",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.024825",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12012574A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019-024825",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201382410",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400133490",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "PORTER",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Clinton Jay Mohr, M.D.
• Shannon Mohr, RPH
• Bethany A Montgomery
• Sidney Renae Moore
• Jacob Morgan, PHARM.D.
• Abby Morris
• Heather Lynn Morris, OTR/L
• Loran Mary Morris, M.S., R.D., L.D.N.
• Michael Alan Morris, MD
• Paula Morris

• General Practice Dentistry in Marion, IL
• Providers in Marion, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.

Verify at the official NPI Registry.