Michael Rocco Pellegrini, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16882 Issued in MA

Practice address

18 Moore St
Suite 100
Belmont, MA 02478-2525

Phone

(617) 484-1034

Fax

(617) 484-1248

NPI assigned

Nov 23, 2005

Sex

Male

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 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1083697098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MOORE ST",
            "address_2": "SUITE 100",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024782525",
            "telephone_number": "617-484-1034",
            "fax_number": "617-484-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 MOORE ST",
            "address_2": "SUITE 100",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024782525",
            "telephone_number": "617-484-1034",
            "fax_number": "617-484-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLEGRINI",
        "first_name": "MICHAEL",
        "middle_name": "ROCCO",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "16882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "X11581",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura A Payne, PH.D.
• Luciana Guardiano Payne, PHD
• Sara Laura Payne, LICSW
• Mary Pederson Metelmann, LICSW
• Holly Samantha Peek, M.D.
• Cynthia Peng, MD
• Matthew J Penque
• Rebecca Lea Perkins, DMD, MMSC
• Sara Lea Perkins, DMD
• Keely Petri, LICSW

• General Practice Dentistry in Belmont, MA
• Providers in Belmont, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.

Verify at the official NPI Registry.