TATSUO PETER NISHINO DDS
NPI 1700112877
Dentist in Pearland, TX

Active since October 26, 2009PECOS Enrolled
2552 BROADWAY ST STE 102, PEARLAND, TX 77581(281) 824-1490(281) 220-6407 Get Directions Write a Review

NPPES record last updated: January 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tatsuo Peter Nishino Dds NPPES

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

TATSUO PETER NISHINO DDS (NPI 1700112877) is an individual dentist in Pearland, Texas, licensed in Texas (24587) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS and maintains a secondary practice location in Alvin.

NPPES Registry Identity

NPI1700112877
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameTATSUO PETER NISHINOCredential: DDS
Location Address2552 BROADWAY ST STE 102Pearland, TX 77581-4904
Mailing Address1111 W Adoue StAlvin, TX 77511-2718 · (281) 824-1480 · Fax (281) 220-6407
Fax(281) 220-6407
Sole ProprietorYes
Enumeration DateOctober 26, 2009
Last NPPES UpdateJanuary 5, 2024
NPPES CertifiedJanuary 5, 2024
NPI 1700112877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in TX · 24587
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2552 BROADWAY ST STE 102, Pearland, TX 77581

Secondary Practice Location 1

Location 11111 W Adoue StAlvin, TX 77511-2718 · Phone (281) 824-1480 · Fax (281) 220-6407

Accepted 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)

Tatsuo Peter Nishino 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 77581 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
$88.15 typical visit price
range $57.16 – $172.89
Typical copayment $22.03 (range $14.29 – $43.22)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.45 – $141.27
Typical copayment $17.82 (range $4.61 – $35.31)
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 4

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

Counselor
2552 BROADWAY ST STE 102
PEARLAND, TX 77581
Counselor (Professional)
2552 BROADWAY ST STE 102
PEARLAND, TX 77581
Clinic/Center (Federally Qualified Health Center (FQHC))
2552 BROADWAY ST STE 102
PEARLAND, TX 77581
Dentist (General Practice)
2552 BROADWAY ST STE 102
PEARLAND, TX 77581

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 Tatsuo Nishino's NPI number?

The NPI number for Tatsuo Nishino is 1700112877. It was assigned to this individual provider in the NPPES registry on October 26, 2009.

Where is Tatsuo Nishino located?

Tatsuo Nishino practices at 2552 Broadway St Ste 102, Pearland, TX 77581. The listed phone number is (281) 824-1490.

What is Tatsuo Nishino's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Tatsuo Nishino enrolled in Medicare?

Yes. Tatsuo Nishino is registered in the Medicare PECOS enrollment system.

What insurance does Tatsuo Nishino 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 17 other insurers list Tatsuo Nishino 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 Tatsuo Nishino was last updated on January 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.