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MRS. MITRA DARICE WAITE DMD, PHD
NPI 1619497989
Dentist in Madison, AL

Active since June 27, 2017PECOS Enrolled
20 HUGHES RD, SUITE 104, MADISON, AL 35758(256) 864-9571(866) 803-4943 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 23, 2026, May 22, 2018, Jun 27, 2017 (3 updates tracked since 2017).

About Mrs. Mitra Darice Waite Dmd, Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MITRA DARICE WAITE DMD, PHD (NPI 1619497989) is an individual dentist in Madison, Alabama, licensed in Alabama (6424) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619497989
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameMRS. MITRA DARICE WAITECredential: DMD, PHD
Location Address20 HUGHES RD, SUITE 104Madison, AL 35758
Mailing Address728 Flag CirHoover, AL 35226-4917 · (256) 479-8490
Phone(256) 864-9571
Fax(866) 803-4943
Sole ProprietorYes
Enumeration DateJune 27, 2017
Last NPPES UpdateJanuary 23, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2026
✔ NPI 1619497989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in AL · 6424
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
20 HUGHES RD, Madison, AL 35758
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Other Names 1

Former Name (1)Ms. Mitra Darice Adhami Dmd, Phd

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Mitra Darice Waite Dmd, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35758 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. BREANA LYNN SPAIN FNP-C
Nurse Practitioner (Family)
20 HUGHES RD
MADISON, AL 35758
Madison County (256) 213-2229
PAIN TO WELLNESS HEALTHCARE CORP
Physical Medicine & Rehabilitation
20 HUGHES RD
MADISON, AL 35758
Madison County (301) 512-6695

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mitra Waite's NPI number?

The NPI number for Mitra Waite is 1619497989. It was assigned to this individual provider in the NPPES registry on June 27, 2017. The provider is also known as Ms. Mitra Darice Adhami Dmd, Phd.

Where is Mitra Waite located?

Mitra Waite practices at 20 Hughes Rd Suite 104, Madison, AL 35758. The listed phone number is (256) 864-9571.

What is Mitra Waite's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Mitra Waite enrolled in Medicare?

Yes. Mitra Waite is registered in the Medicare PECOS enrollment system.

What insurance does Mitra Waite accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 14 other insurers list Mitra Waite as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mitra Waite was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.