Active NPI
Dag Zapatero, DDS MAGD
- General Practice Dentistry
- Virginia Beach, VA
National Provider Identifier
1871690990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401007450
- Practice address
- 3020 Shore Drive
Suite a
Virginia Beach, VA 23451 - Phone
- (757) 481-8893
- Fax
- (757) 481-0425
- NPI assigned
- Sep 20, 2006
- Last updated
- Aug 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401007450 | VA | Primary |
Addresses
Primary practice location
3020 Shore Drive
Suite a
Virginia Beach, VA 23451
Mailing address
3020 Shore Dr
Suite a
Virginia Beach, VA 23451-1295
Phone (757) 481-8893
Other names 1
- Dr. Dagoberto Gonzalos Zapatero
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 20, 2015 through Jan 20, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401007450 | VA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dag Zapatero,DDS | General Practice | 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.
-
dba Starfish Dental Care
- General Practice Dentistry
- Virginia Beach, VA
- NPI 1740472729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187049600000",
"number": "1871690990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 SHORE DR",
"address_2": "SUITE A",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234511295",
"telephone_number": "757-481-8893",
"fax_number": "757-481-0425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3020 SHORE DRIVE",
"address_2": "SUITE A",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "23451",
"telephone_number": "757-481-8893",
"fax_number": "757-481-0425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAPATERO",
"first_name": "DAG",
"name_prefix": "Dr.",
"credential": "DDS MAGD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401007450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DAGOBERTO",
"last_name": "ZAPATERO",
"middle_name": "GONZALOS",
"prefix": "DR.",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.