Individual provider Active NPI

Siraj Al-Mahdi, D.D.S.

  • Pediatric Dentistry
  • Charlotte, NC
National Provider Identifier
1386179604
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
10601 Issued in NC
Practice address
10512 Park Rd Ste 210
Charlotte, NC 28210-8469
Phone
(704) 800-6558
NPI assigned
Apr 24, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 10601 NC Primary

Addresses

Primary practice location

10512 Park Rd Ste 210
Charlotte, NC 28210-8469

Mailing address

215 N Pine St Unit 3002
Charlotte, NC 28202-2486
Phone (919) 943-9907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
S H Al-Mahdi DDS, PLLC Pediatric Dentistry CurrentSince Aug 25, 2025 Accepting new patients

Locations

10512 Park Rd
Ste 210
Charlotte, NC 28210
Phone (704) 790-2450

Interoperability endpoints

  • Direct secure messaging: salmahdi3030733@carolinashealthcaresystem.direct-ci.com

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": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1386179604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N PINE ST UNIT 3002",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022486",
            "telephone_number": "919-943-9907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10512 PARK RD STE 210",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108469",
            "telephone_number": "704-800-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-MAHDI",
        "first_name": "SIRAJ",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-24",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "10601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.