Dr. John Carson Nale, D.M.D, M.D.
Oral & Maxillofacial Surgery in Charlotte, NC. Individual provider (NPI-1).
NPI number1649475005
StatusActive
Last updated in NPPESNov 11, 2009
Details
- NPI
- 1649475005
- Entity type
- Individual (NPI-1)
- Name
- Dr. John Carson Nale
- Credential
- D.M.D, M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 18, 2007
- Last updated
- Nov 11, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- Medicare opt-out
- Jun 1, 2012 to Jun 1, 2028
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 204E00000X | Oral & Maxillofacial Surgery | DN16405 | FL | Yes |
Practice location
411 Billingsley RdSuite 105
Charlotte, NC 28211-1046
Phone 704-347-3900
Mailing address
411 Billingsley RdSuite 105
Charlotte, NC 28211-1046
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