Active NPI
Victor Eduardo Zapata
- Dentist
- Denmark, SC
National Provider Identifier
1174476592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11504
- Practice address
- 17652 Heritage Hwy
Denmark, SC 29042-1469 - Phone
- (803) 793-3653
- NPI assigned
- Feb 16, 2026
- Last updated
- Jun 19, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 11504 | SC | Primary |
Addresses
Primary practice location
17652 Heritage Hwy
Denmark, SC 29042-1469
Mailing address
4282 Candleberry GDN
North Augusta, SC 29860-7202
Phone (714) 773-2698
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11504 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Earl B Hartzog DMD PA | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781827200000",
"number": "1174476592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4282 CANDLEBERRY GDN",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298607202",
"telephone_number": "714-773-2698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17652 HERITAGE HWY",
"city": "DENMARK",
"state": "SC",
"postal_code": "290421469",
"telephone_number": "803-793-3653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAPATA",
"first_name": "VICTOR",
"middle_name": "EDUARDO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-02-16",
"last_updated": "2026-06-19",
"certification_date": "2026-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "11504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denmark, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.