Staci Chantelle Paletta, D.M.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN1855876 Issued in MA

Practice address

302 Broadway Unit 6
Raynham, MA 02767-1439

Phone

(508) 880-5891

NPI assigned

Jul 14, 2006

Last updated

Aug 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wickford Orthodontics, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • North Kingstown, RI
  • NPI 1710187240
  NPD (past) Authorized official
• Wickford Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • North Kingstown, RI
  • NPI 1891997490
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1861418063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 BROADWAY UNIT 6",
            "city": "RAYNHAM",
            "state": "MA",
            "postal_code": "027671439",
            "telephone_number": "508-880-5891",
            "fax_number": "401-295-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 BROADWAY UNIT 6",
            "city": "RAYNHAM",
            "state": "MA",
            "postal_code": "027671439",
            "telephone_number": "508-880-5891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALETTA",
        "first_name": "STACI",
        "middle_name": "CHANTELLE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "RI",
            "license": "DEN02894",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "DN1855876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New England Sports Therapy Plus V, Inc.
• Lisa Elizabeth Nugent, RN
• Kyle Nuland, M.D.
• Orthopedic Care Physician Network LLC
• Jennifer Anne Otis, LMHC
• Robert George Paquette, DDS
• Mrudula Patel, M.D.
• Arya Amol Pathak, DMD
• Brieanne Pereira, RN, BSN
• Mary Kate Peters, M.ED

• Orthodontics and Dentofacial Orthopedics Dentistry in Raynham, MA
• Providers in Raynham, MA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.