Individual provider Active NPI

Matt Scarberry, DDS

  • Dentist
  • Saint Albans, WV
National Provider Identifier
1316967821
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3725 Issued in WV
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

Updated by the provider on Jan 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3810005869MedicaidWV
60004512MedicaidKY

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
3725WVMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Scarberry Dental Sleep Solutions LLC CurrentSince Dec 21, 2025 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.

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.

Verify at the official NPI Registry.