Stacy L Zackowski, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

0401008884 Issued in VA

Practice address

2105 E Parham Rd
Suite 107
Richmond, VA 23228-2236

Phone

(804) 264-9460

Fax

(804) 264-9462

NPI assigned

Oct 25, 2007

Sex

Female

Sole proprietor

Yes

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 VA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Stacy Z. Lukanuski DDS PLC

  • Dentist
  • Richmond, VA
  • NPI 1659560886
  NPD (past)

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1467631549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 E PARHAM RD",
            "address_2": "SUITE 107",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232282236",
            "telephone_number": "804-264-9460",
            "fax_number": "804-264-9462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 E PARHAM RD",
            "address_2": "SUITE 107",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232282236",
            "telephone_number": "804-264-9460",
            "fax_number": "804-264-9462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACKOWSKI",
        "first_name": "STACY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401008884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvonne Knight MD PC
• Ywca Richmond
• Andrew David Zabala, PHARMD
• Raymond Zabinsky, D.C.
• Madge E Zacharias, MD
• Jill Annemarie Zackrisson, MD
• Linda Lynn Zaffram, LCSW
• Zaftig Express LLC
• Karen Zagayko, PH.D., LCP
• Nikola Zaharakis, MS

• Dentist in Richmond, VA
• Providers in Richmond, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.