NPIMap

Organization Active NPI

Peabody Smile Design Family Dentistry PLLC

  • Dental Clinic/Center
  • Peabody, MA
National Provider Identifier
1487599346
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PEABODY SMILE DESIGN FAMILY DENTISTRY PLLC
Practice address
124 Newbury St
Peabody, MA 01960-4066
Phone
(754) 234-6971
Fax
(781) 995-0565
NPI assigned
Apr 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Authorized official

Name
Dr. Shadi Elmekkawi, DMDNPI 1457974198
Title
Owner
Phone
(754) 234-6971

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

124 Newbury St
Peabody, MA 01960-4066

Mailing address

576 Main St
Woburn, MA 01801-7130
Phone (754) 234-6971

National Provider Directory

National Provider Directory

Locations

124 Newbury St
Peabody, MA 01960
Phone (754) 234-6971

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1776643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1487599346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 MAIN ST",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018017130",
            "telephone_number": "754-234-6971",
            "fax_number": "781-995-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 NEWBURY ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019604066",
            "telephone_number": "754-234-6971",
            "fax_number": "781-995-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEABODY SMILE DESIGN FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-20",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A",
        "authorized_official_last_name": "ELMEKKAWI",
        "authorized_official_first_name": "SHADI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "754-234-6971",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.