Nitesh Popat, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN30977 Issued in FL

Practice address

46 Tuscan Way Ste 306
St Augustine, FL 32092-1849

Phone

(904) 395-7822

NPI assigned

Jun 1, 2012

Last updated

Jun 9, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

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 Oct 28, 2015 through Oct 28, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Austin Dental Professionals PLLC

  dba Reflection Dental

  • General Practice Dentistry
  • Cedar Park, TX
  • NPI 1487409686
  NPD Authorized official
• Polished Dental Professionals, PLLC

  • General Practice Dentistry
  • St Augustine, FL
  • NPI 1386587020
  NPD (past)
• Cook Dentistry PLLC

  dba SkyRidge Dental

  • Dental Clinic/Center
  • Austin, TX
  • NPI 1902466048
  NPD (past)
• Mannem & Associates, Inc

  dba Lakeway Periodontics

  • Periodontics
  • Lakeway, TX
  • NPI 1083940340
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1841551264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 TUSCAN WAY STE 306",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320921849",
            "telephone_number": "904-395-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 TUSCAN WAY STE 306",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320921849",
            "telephone_number": "904-395-7822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPAT",
        "first_name": "NITESH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-01",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "32639",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020709",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "100990",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401414170",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN30977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ponce de Leon Family Dentistry
• Ponce Home Medical Equipment Inc
• Ponce Home Medical Equipment, Inc.
• Ponce NH LLC
• Louis John Pontarelli
• Adriano Portes, RPH
• Danielle Marie Portuondo, RD, LDN
• Lindsey Porubcan, PA-C
• Frederick John Post, LMHC
• Pamela Henderson Postell, NP

• General Practice Dentistry in St Augustine, FL
• Providers in St Augustine, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.

Verify at the official NPI Registry.