Individual provider Active NPI

Ryane Staples, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Portsmouth, VA
National Provider Identifier
1750906814
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
0438000528 Issued in VA
Practice address
Naval Medical Center Portsmouth
620 John Paul Jones Circle
Portsmouth, VA 23708
Phone
(757) 953-2711
Fax
(757) 953-0844
NPI assigned
Jun 14, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 0401419394 VA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 0438000528 VA Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 30.028251 OH

Addresses

Primary practice location

Naval Medical Center Portsmouth
620 John Paul Jones Circle
Portsmouth, VA 23708

Mailing address

620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone (757) 953-2711

Other practice location 1

14346 Warwick Blvd Ste 418
Newport News, VA 23602-3817
Phone (757) 755-8771

Other practice location 2

895 City Center Blvd Ste 152
Newport News, VA 23606-3080
Phone (757) 599-5505

Other practice location 3

2338 E Little Creek Rd
Norfolk, VA 23518-3225
Phone (804) 533-7665

Other practice location 4

3300 Princess Anne Rd Ste 715
Virginia Beach, VA 23456-2603
Phone (757) 649-2000

Other practice location 5

3300 Kemp Rd
Beavercreek, OH 45431-4200
Phone (937) 752-5979

Other practice location 6

3523 Commercial Dr
Fairlawn, OH 44333-5107
Phone (330) 577-5774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260228000205 VA Practitioner - Maxillofacial Surgery 0547786857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial Surgery
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

856 J Clyde Morris Blvd
Suite a
Newport News, VA 23601-1318

856 J Clyde Morris Blvd a
Newport News, VA 23601-1318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37297TXMDClinical Social Worker
30.028251OHMDOral and Maxillofacial Surgery (Dentist)
0401419394VAMDOral and Maxillofacial Surgery (Dentist)
0438000528VAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Physician Services Inc CurrentSince Jan 28, 2026 Accepting new patients
Riverside Physician Services, Inc. CurrentSince Jan 28, 2026 Accepting new patients
Riverside Physician Services Inc Past Accepting new patients

Locations

727 25th St
Newport News, VA 23607
Phone (757) 316-5210

895 City Center Blvd
Ste 152
Newport News, VA 23606
Phone (757) 599-5505

Organizations & group practices 4

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": "1592092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1750906814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 JOHN PAUL JONES CIR",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237082111",
            "telephone_number": "757-953-2711",
            "fax_number": "757-953-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVAL MEDICAL CENTER PORTSMOUTH",
            "address_2": "620 JOHN PAUL JONES CIRCLE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "23708",
            "telephone_number": "757-953-2711",
            "fax_number": "757-953-0844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14346 Warwick Blvd Ste 418",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236023817",
            "country_code": "US",
            "telephone_number": "757-755-8771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "895 City Center Blvd Ste 152",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236063080",
            "country_code": "US",
            "telephone_number": "757-599-5505",
            "fax_number": "757-599-3618",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2338 E Little Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235183225",
            "country_code": "US",
            "telephone_number": "804-533-7665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Princess Anne Rd Ste 715",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234562603",
            "country_code": "US",
            "telephone_number": "757-649-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Kemp Rd",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "454314200",
            "country_code": "US",
            "telephone_number": "937-752-5979",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3523 Commercial Dr",
            "address_purpose": "LOCATION",
            "city": "Fairlawn",
            "state": "OH",
            "postal_code": "443335107",
            "country_code": "US",
            "telephone_number": "330-577-5774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAPLES",
        "first_name": "RYANE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-14",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0401419394",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0438000528",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "30.028251",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

Verify at the official NPI Registry.