ZACKERY ETHAN EADES DMD
NPI 1255985289
Dentist in Prattville, AL
About Zackery Ethan Eades Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ZACKERY ETHAN EADES DMD (NPI 1255985289) is an individual dentist in Prattville, Alabama, licensed in Alabama (0006649-C1) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Troy, and is a graduate of University Of Alabama School Of Dentistry (2019).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Zackery Ethan Eades Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Zackery Eades reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Prattville, AL 36066
- Reassigned Medicare billing, Alabama enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 36066 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Zackery Eades's NPI number?
The NPI number for Zackery Eades is 1255985289. It was assigned to this individual provider in the NPPES registry on July 29, 2019.
Where is Zackery Eades located?
Zackery Eades practices at 1803 Station Dr Ste A, Prattville, AL 36066. The listed phone number is (334) 361-9880.
What is Zackery Eades's specialty?
The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.
Is Zackery Eades enrolled in Medicare?
Yes. Zackery Eades is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Zackery Eades's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Zackery Eades reassigns Medicare benefits to Autauga Station Dental (Prattville, AL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Zackery Eades's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Zackery Eades accept?
Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 8 other insurers list Zackery Eades as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Zackery Eades was last updated on July 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Zackery Ethan Eades, DMD · NPI 1255985289
Dentist provider in Prattville, Alabama. Individual provider, active in the CMS NPPES registry since July 29, 2019.
## Identity
- **NPI:** 1255985289 (Entity type: Individual)
- **Enumerated:** July 29, 2019
- **Primary specialty:** Dentist · taxonomy 122300000X
- **State license:** 0006649-C1 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 1803 STATION DR STE A, Prattville, AL 36066-5671
- **Phone:** (334) 361-9880
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Autauga Station Dental (NPI 1275429383, Prattville, AL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Alabama School Of Dentistry, class of 2019
## Record status
- **NPPES last updated:** July 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1255985289) · Data from the CMS NPPES public registry.