Melissa M Lackey, D.M.D.,M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

19457 Issued in MA

Practice address

810 Main St
Melrose, MA 02176-2711

Phone

(781) 662-6228

Fax

(781) 622-4455

NPI assigned

Nov 5, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: mlackey28740@tuftsmedicine.direct-ci.com

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.

• Melrose Wakefield Oral Surgery Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Melrose, MA
  • NPI 1568409902
  Medicare reassignment
• Salem Peabody Oral Surgery Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Peabody, MA
  • NPI 1437198819
  NPD (past)

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

{
    "created_epoch": "1131148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1386635514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 MAIN ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021762711",
            "telephone_number": "781-662-6228",
            "fax_number": "781-622-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 MAIN ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021762711",
            "telephone_number": "781-662-6228",
            "fax_number": "781-622-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACKEY",
        "first_name": "MELISSA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.M.D.,M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-05",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "19457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PILGRIM",
            "identifier": "16806",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "791536",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "X08852",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Geraldine S. Koppenaal, RNCS
• Steven Ira Kornbleuth, MD
• Sybil Meg Kramer, MD
• Martha S Krikeles, MD
• Vicki Shangraw Kvedar, MD
• Mackenzie Lacroix, PA-C
• Josee Laplante, MD
• Lauren Larcano
• Rachel Erin Latta, PH.D.
• Alexander B Latty, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Melrose, MA
• Providers in Melrose, MA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.