DR. STACY L ZACKOWSKI D.D.S.
NPI 1467631549
Dentist in Richmond, VA

Active since October 25, 2007PECOS Enrolled
2105 E PARHAM RD, SUITE 107, RICHMOND, VA 23228(804) 264-9460(804) 264-9462 Get Directions Write a Review

NPPES record last updated: October 25, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Stacy L Zackowski D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STACY L ZACKOWSKI D.D.S. (NPI 1467631549) is an individual dentist in Richmond, Virginia, licensed in Virginia (0401008884) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467631549
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. STACY L ZACKOWSKICredential: D.D.S.
Location Address2105 E PARHAM RD, SUITE 107Richmond, VA 23228-2236
Mailing Address2105 E Parham Rd, Suite 107Richmond, VA 23228-2236 · (804) 264-9460 · Fax (804) 264-9462
Fax(804) 264-9462
Sole ProprietorYes
Enumeration DateOctober 25, 2007
NPI 1467631549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in VA · 0401008884
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2105 E PARHAM RD, Richmond, VA 23228

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Stacy L Zackowski D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23228 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Adult Health)
2105 E PARHAM RD
RICHMOND, VA 23228
Family Medicine
2105 E PARHAM RD, SUITE 109
RICHMOND, VA 23228
Dentist
2105 E PARHAM RD, SUITE 107
RICHMOND, VA 23228

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 Stacy Zackowski's NPI number?

The NPI number for Stacy Zackowski is 1467631549. It was assigned to this individual provider in the NPPES registry on October 25, 2007.

Where is Stacy Zackowski located?

Stacy Zackowski practices at 2105 E Parham Rd Suite 107, Richmond, VA 23228. The listed phone number is (804) 264-9460.

What is Stacy Zackowski's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Stacy Zackowski enrolled in Medicare?

Yes. Stacy Zackowski is registered in the Medicare PECOS enrollment system.

What insurance does Stacy Zackowski 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 7 other insurers list Stacy Zackowski 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 Stacy Zackowski was last updated on October 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.