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GUSTAVO ALBERTO GONZALEZ-NIETO D.D.S.
NPI 1487811352
Dentist - General Practice in Teague, TX

Active since May 19, 2008PECOS Enrolled
109 N 4TH AVE, TEAGUE, TX 75860(254) 739-2533(254) 739-2534 Get Directions Write a Review

NPPES record last updated: March 7, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gustavo Alberto Gonzalez-nieto D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GUSTAVO ALBERTO GONZALEZ-NIETO D.D.S. (NPI 1487811352) is an individual general practice provider in Teague, Texas, licensed in Texas (23863) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487811352
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameGUSTAVO ALBERTO GONZALEZ-NIETOCredential: D.D.S.
Location Address109 N 4TH AVETeague, TX 75860-1601
Mailing Address109 N 4th AveTeague, TX 75860-1601 · (254) 739-2533 · Fax (254) 739-2534
Phone(254) 739-2533
Fax(254) 739-2534
Sole ProprietorNo
Enumeration DateMay 19, 2008
Last NPPES UpdateMarch 7, 2016
✔ NPI 1487811352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 23863
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
109 N 4TH AVE, Teague, TX 75860
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gustavo Alberto Gonzalez-nieto D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75860 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MICHAEL HARVEY COOK DDS
Dentist
109 N 4TH AVE
TEAGUE, TX 75860
Freestone County (254) 739-2533

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gustavo Gonzalez-nieto's NPI number?

The NPI number for Gustavo Gonzalez-nieto is 1487811352. It was assigned to this individual provider in the NPPES registry on May 19, 2008.

Where is Gustavo Gonzalez-nieto located?

Gustavo Gonzalez-nieto practices at 109 N 4th Ave, Teague, TX 75860. The listed phone number is (254) 739-2533.

What is Gustavo Gonzalez-nieto's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Gustavo Gonzalez-nieto enrolled in Medicare?

Yes. Gustavo Gonzalez-nieto is registered in the Medicare PECOS enrollment system.

What insurance does Gustavo Gonzalez-nieto accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 18 other insurers list Gustavo Gonzalez-nieto as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gustavo Gonzalez-nieto was last updated on March 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.