Individual provider Active NPI

Dag Zapatero, DDS MAGD

  • General Practice Dentistry
  • Virginia Beach, VA
National Provider Identifier
1871690990
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401007450 Issued in VA
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
0401007450VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.