Richard J Staller DDS PA
NPI 1760812556ActiveOrganization· Dentist, General Practice· Delray Beach, FL
Dentist, General Practice in Delray Beach, Florida, registered in NPPES in November 2013. The authorized official on file is Kelli N. Carter, Office Manager.
Overview
| NPI | 1760812556 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 15, 2013 |
| Last updated in NPPES | Oct 16, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 9129 | FL |
| Dentist, Endodontics | 1223E0200X | 6099 | FL |
| Dentist, Endodontics | 1223E0200X | 10823 | FL |
| Dentist, Oral and Maxillofacial Surgery | 1223S0112X | 9191 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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