MATTHEW CHAVARRIA – Oral and Maxillofacial Surgery (Dentist), NPI 1457970394

MATTHEW CHAVARRIA is a healthcare provider. based in Wasilla, Alaska. specializing in ORAL SURGERY. They hold a License No. 226577 (AK). The NPI Number for MATTHEW CHAVARRIA is 1457970394

Main info

Male
6 Years Of Experience
Name
MATTHEW CHAVARRIA
NPI
1457970394
Phone
(907) 373-6670
Address
3465 E MERIDIAN PARK LOOP STE A
Enumeration Date
10 April 2020
Last Update Date
11 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9073736670
Graduation Year
2020 (6 years ago)
PAC ID
1951825942
Group Practice PAC ID
7810264603
Professional Enrollment ID
I20250411001213
Address ID
AK996547264WA3465XLOOP501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

Provider Addresses for MATTHEW CHAVARRIA

  • 3465 E MERIDIAN PARK LOOP STE A

    WASILLA, AK 996547264

    Phone: (907) 373-6670

    Type: Mailing

  • 110 IRVING ST. NW

    DEPT OF ORAL AND MAXILLOFACIAL SURGERY

    WASHINGTON DC, DC 200103017

    Phone: (202) 877-5380

    Fax: (202) 877-5380

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250411001213IOral SurgeryAKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99654)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810264603View full group profile
NameSpecialtyState
Oral SurgeryAK

Reviews

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Frequently asked questions

Can I use this page to confirm MATTHEW CHAVARRIA's NPI?
Yes. MATTHEW CHAVARRIA is listed with NPI 1457970394 in the public NPI dataset.
Is MATTHEW CHAVARRIA listed as active for patients and plans?
The listing shows MATTHEW CHAVARRIA as active in the NPI system.
What is MATTHEW CHAVARRIA best known for clinically?
Directory data describes MATTHEW CHAVARRIA with Oral and Maxillofacial Surgery (Dentist). Clinical services aligned with this taxonomy classification.
What area does MATTHEW CHAVARRIA serve?
MATTHEW CHAVARRIA's listing highlights Wasilla, Alaska; more addresses can appear in NPPES.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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