Matthew Chavarria

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

226577 Issued in AK

Practice address

3465 E Meridian Park Loop Ste a
Wasilla, AK 99654-7264

Phone

(907) 373-6670

NPI assigned

Apr 10, 2020

Last updated

Jul 11, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

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

Specialty

Oral Surgery

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Matthew a Monaco DDS,LLCGroup PAC ID 7810264603, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Matthew a Monaco DDS,LLC

  dba Meridian Park Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Wasilla, AK
  • NPI 1235679515
  Medicare reassignment Care Compare group NPD
• Anesthesia Relief Staffing LLC

  • Certified Registered Nurse Anesthetist
  • Anchorage, AK
  • NPI 1437585833
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1457970394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3465 E MERIDIAN PARK LOOP STE A",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547264",
            "telephone_number": "907-373-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3465 E MERIDIAN PARK LOOP STE A",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547264",
            "telephone_number": "907-373-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVARRIA",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-10",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AK",
            "license": "226577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Cole D.D.S LLC
• Asia Monia Charleston
• Caroline Jeanne Charniak, DPT
• Ana Chartier, M.D.
• Keith Chase, PHARM D
• April E Cheek
• Annamarie Chefalo, PA-C
• Jerry William Chernik, D.M.D.
• Melissa Marie Cherry, LMT
• Cheryl Hodges MD

• Oral and Maxillofacial Surgery (Dentist) in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Oral and Maxillofacial Surgery (Dentist) in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.