Individual provider Active NPI

Morgan Ashley Emery Dooley, D.D.S.

  • General Practice Dentistry
  • Alton, IL
National Provider Identifier
1649526278
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019029097 Issued in IL
Practice address
2800 College Ave
Alton, IL 62002-4742
Phone
(618) 474-7000
NPI assigned
Aug 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2012016531 MO
General Practice Dentistry 1223G0001X 019029097 IL Primary

Addresses

Primary practice location

2800 College Ave
Alton, IL 62002-4742

Mailing address

2800 College Ave BLDG 263
Alton, IL 62002-4700
Phone (618) 474-7000

Other practice location 1

590 Glen Crossing Rd
Glen Carbon, IL 62034-1519
Phone (618) 288-9670

Other identifiers 2

IdentifierTypeStateIssuer
019029097OtherILLICENSE
2012016531OtherMOLICENSE

Other names 1

  • Dr. Morgan Ashley Emery Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20150528001332 MO Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4183944473

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019029097ILMDGeneral Practice Dentistry
2012016531MOMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Complete Health Dentistry General Practice CurrentSince Nov 1, 2022 Accepting new patients

Locations

590 Glen Crossing Rd
Glen Carbon, IL 62034
Phone (618) 288-3838

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1649526278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 COLLEGE AVE BLDG 263",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620024700",
            "telephone_number": "618-474-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 COLLEGE AVE",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620024742",
            "telephone_number": "618-474-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "590 Glen Crossing Rd",
            "address_purpose": "LOCATION",
            "city": "Glen Carbon",
            "state": "IL",
            "postal_code": "620341519",
            "country_code": "US",
            "telephone_number": "618-288-9670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOOLEY",
        "first_name": "MORGAN",
        "middle_name": "ASHLEY EMERY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-01",
        "last_updated": "2024-10-03",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2012016531",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019029097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "019029097",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2012016531",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MORGAN",
            "last_name": "EMERY",
            "middle_name": "ASHLEY",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alton, IL

Sources for this page

Verify at the official NPI Registry.