Active NPI
Matt Scarberry, DDS
- Dentist
- Saint Albans, WV
National Provider Identifier
1316967821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3725
- Practice address
- 2035 Kanawha Ter
Saint Albans, WV 25177-3187 - Phone
- (304) 727-2222
- Fax
- (304) 727-0277
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3725 | WV | Primary |
Addresses
Primary practice location
2035 Kanawha Ter
Saint Albans, WV 25177-3187
Mailing address
2035 Kanawha Ter
Saint Albans, WV 25177-3187
Phone (304) 727-2222
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810005869 | Medicaid | WV | |
| 60004512 | Medicaid | KY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3725 | WV | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scarberry Dental Sleep Solutions LLC | Current | Accepting new patients | |
| Ghareeb & Scarberry, D.D.S., PC | Past | Accepting new patients |
Locations
2035 Kanawha Ter
Saint Albans, WV 25177
Phone (304) 727-2222
Organizations & group practices 2
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.
-
- Customized Equipment (DME)
- Saint Albans, WV
- NPI 1568327229
-
- General Practice Dentistry
- Saint Albans, WV
- NPI 1801032073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390867200000",
"number": "1316967821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2035 KANAWHA TER",
"city": "SAINT ALBANS",
"state": "WV",
"postal_code": "251773187",
"telephone_number": "304-727-2222",
"fax_number": "304-727-0277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2035 KANAWHA TER",
"city": "SAINT ALBANS",
"state": "WV",
"postal_code": "251773187",
"telephone_number": "304-727-2222",
"fax_number": "304-727-0277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCARBERRY",
"first_name": "MATT",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2014-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WV",
"license": "3725",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810005869",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60004512",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Albans, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.