Individual provider Active NPI

Matthew Adams Pray, D.M.D.

  • Dentist
  • Anderson, SC
National Provider Identifier
1093976490
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4560 Issued in SC
Practice address
218A E Shockley Ferry Rd
Anderson, SC 29624-3739
Phone
(864) 226-4411
NPI assigned
Jun 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 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 4560 SC Primary
General Practice Dentistry 1223G0001X 4560 SC

Addresses

Primary practice location

218A E Shockley Ferry Rd
Anderson, SC 29624-3739

Mailing address

218A E Shockley Ferry Rd
Anderson, SC 29624-3739
Phone (864) 226-4411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20150727002970 SC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8022322676

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4560SCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pray Family Dentistry P.a. General Practice Current Accepting new patients

Locations

218A E Shockley Ferry Rd
Anderson, SC 29624
Phone (864) 226-4411

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": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1093976490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218A E SHOCKLEY FERRY RD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296243739",
            "telephone_number": "864-226-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218A E SHOCKLEY FERRY RD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296243739",
            "telephone_number": "864-226-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAY",
        "first_name": "MATTHEW",
        "middle_name": "ADAMS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-19",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "4560",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4560",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.