Individual provider Active NPI

Shawn Maule, DDS

  • Dentist
  • Phoenix, AZ
National Provider Identifier
1386242691
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D010881 Issued in AZ
Practice address
4317 E McDowell Rd
Phoenix, AZ 85008-4501
Phone
(602) 845-5730
Fax
(602) 845-5536
NPI assigned
Oct 9, 2020
Last updated
Mar 31, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D010881 AZ Primary

Addresses

Primary practice location

4317 E McDowell Rd
Phoenix, AZ 85008-4501

Mailing address

4710 E Cactus Rd
Phoenix, AZ 85032-7706
Phone (480) 442-0225

Other practice location 1

4710 E Cactus Rd
Phoenix, AZ 85032-7706
Phone (480) 442-0225

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

State licenses

LicenseStateTypeSpecialty
D010881AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
South Tucson Dental Partners LLC CurrentSince Feb 18, 2024 Accepting new patients
Mirror Image Dental LLC CurrentSince Mar 20, 2025 Accepting new patients
Arcadia Dental Partners LLC PastSince Apr 14, 2024 Accepting new patients

Locations

3030 N Central Ave
Ste 1500
Phoenix, AZ 85012
Phone (480) 339-4800

4710 E Cactus Rd
Phoenix, AZ 85032
Phone (480) 442-0225

2901 S 6th Ave
Tucson, AZ 85713
Phone (520) 357-0330

Organizations & group practices 3

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": "1602201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1386242691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 E CACTUS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850327706",
            "telephone_number": "480-442-0225",
            "fax_number": "480-701-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4317 E MCDOWELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850084501",
            "telephone_number": "602-845-5730",
            "fax_number": "602-845-5536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4710 E Cactus Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850327706",
            "country_code": "US",
            "telephone_number": "480-442-0225",
            "fax_number": "480-701-8101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAULE",
        "first_name": "SHAWN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-09",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D010881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.