Individual provider Active NPI

Naina A Mahale, DDS

  • Dentist
  • Waxhaw, NC
National Provider Identifier
1083875942
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10889 Issued in NC
Practice address
8418 New Town Rd
Waxhaw, NC 28173-8302
Phone
(704) 843-2880
Fax
(704) 843-1652
NPI assigned
Jun 23, 2008
Last updated
Apr 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10889 NC Primary
General Practice Dentistry 1223G0001X 10889 NC

Addresses

Primary practice location

8418 New Town Rd
Waxhaw, NC 28173-8302

Mailing address

8418 New Town Rd
Waxhaw, NC 28173-8302
Phone (704) 843-2880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20250601000001 NC Practitioner - Dentist 2466840541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
University of Minnesota School of Dentistry, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8418 New Town Rd
Waxhaw, NC 28173-8302
Phone (701) 843-2880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10889NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Naina Mahale DDS PLLC Current Accepting new patients
N Mahale DDS PLLC General Practice CurrentSince May 24, 2021 Accepting new patients

Locations

8418 New Town Rd
Waxhaw, NC 28173
Phone (701) 843-2880

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1083875942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8418 NEW TOWN RD",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281738302",
            "telephone_number": "704-843-2880",
            "fax_number": "704-843-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8418 NEW TOWN RD",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281738302",
            "telephone_number": "704-843-2880",
            "fax_number": "704-843-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHALE",
        "first_name": "NAINA",
        "middle_name": "A",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "10889",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10889",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxhaw, NC

Sources for this page

Verify at the official NPI Registry.