Stacy Z. Lukanuski DDS PLC

Primary specialty

DentistTaxonomy code 122300000X

License

0401008884 Issued in VA

Legal business name

STACY Z. LUKANUSKI DDS PLC

Practice address

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

Phone

(804) 264-9460

Fax

(804) 264-9462

NPI assigned

Oct 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Stacy Lukanuski, D.D.S.

Title

DDS

Phone

(804) 264-9460

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stacy L Zackowski, D.D.S.

  • Dentist
  • Richmond, VA
  • NPI 1467631549
  NPD (past)

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1659560886",
    "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": {
        "organization_name": "STACY Z. LUKANUSKI DDS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "LUKANUSKI",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "804-264-9460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401008884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "981168",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St. Mary's Ambulatory Surgery Center, LLC
• Roger Dale St.Clair Jr., PHARM.D.
• Pamela Stacey, RN, LPC
• Michele Stacks
• Stacy H. Gill, LLC
• Magen Adeline Stacy, PT, DPT, OCS
• Carlton Stadler, MD
• Ariana Allyce Staffen, AGACNP-BC
• Jill Staffenberg, MS, CCC-SLP
• Josh Dwyer Stafford, PTA

• 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 Apr 20, 2008; 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.