Individual provider Active NPI

Zubad Newaz, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Ponte Vedra Beach, FL
National Provider Identifier
1134551823
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN20311 Issued in FL
Practice address
3109 Sawgrass Village Cir
Ponte Vedra Beach, FL 32082-5032
Phone
(904) 273-9115
Fax
(904) 871-8117
NPI assigned
Aug 5, 2013
Last updated
Jun 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DN20311 FL Primary

Addresses

Primary practice location

3109 Sawgrass Village Cir
Ponte Vedra Beach, FL 32082-5032

Mailing address

3109 Sawgrass Village Cir
Ponte Vedra Beach, FL 32082-5032
Phone (904) 273-9115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 18, 2025 through Sep 18, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN20311FLMDOrthodontics and Dentofacial Orthopedic Dentist
058424NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ponte Vedra Orthodontics LLC Orthodontics and Dentofacial Orthopedics CurrentSince Jun 8, 2025 Accepting new patients
Team Dental Nyc LLC Orthodontics and Dentofacial Orthopedics PastSince Feb 23, 2025 Accepting new patients
Newaz Diagnostics PLLC Orthodontics and Dentofacial Orthopedics PastSince Jun 8, 2025 Accepting new patients

Locations

3109 Sawgrass Village Cir
Ponte Vedra Beach, FL 32082
Phone (904) 273-9115

Organizations & group practices 3

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": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1134551823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 SAWGRASS VILLAGE CIR",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320825032",
            "telephone_number": "904-273-9115",
            "fax_number": "904-871-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 SAWGRASS VILLAGE CIR",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320825032",
            "telephone_number": "904-273-9115",
            "fax_number": "904-871-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWAZ",
        "first_name": "ZUBAD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-05",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN20311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra Beach, FL

Sources for this page

Verify at the official NPI Registry.