DR. TETSUJI ZENAS WATARI DDS
NPI 1639347958
Dentist - Periodontics in Medford, OR

Q: What is Tetsuji Watari's NPI number?

The NPI number for Tetsuji Watari is 1639347958. It was assigned to this individual provider in the NPPES registry on February 20, 2008.

Q: What is Tetsuji Watari's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for Tetsuji Watari was last updated on February 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since February 20, 2008PECOS Enrolled

2930 E BARNETT RD, MEDFORD, OR 97504(541) 779-5401(541) 779-8674 Get Directions Write a Review

NPPES record last updated: February 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Tetsuji Zenas Watari Dds NPPES

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

DR. TETSUJI ZENAS WATARI DDS (NPI 1639347958) is an individual periodontics provider in Medford, Oregon, licensed in Oregon (D9047) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639347958

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. TETSUJI ZENAS WATARICredential: DDS

Location Address2930 E BARNETT RDMedford, OR 97504

Mailing Address2930 E Barnett RdMedford, OR 97504 · (541) 779-5401 · Fax (541) 779-8674

Phone(541) 779-5401

Fax(541) 779-8674

Sole ProprietorYes

Enumeration DateFebruary 20, 2008

✔ NPI 1639347958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in OR · D9047

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

2930 E BARNETT RD, Medford, OR 97504

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tetsuji Zenas Watari Dds 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 97504 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.68 – $136.19

Typical copayment $17.16 (range $4.42 – $34.04)

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 6

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

DR. JOHN DAVID FERRIN D.M.D. , MS

Dentist (Periodontics)