TATSUO PETER NISHINO DDS
NPI 1700112877
Dentist in Pearland, TX

Q: 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.

Q: What is Tatsuo Nishino's specialty?

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

Q: 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.

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: October 25, 2026.

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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

Phone(281) 824-1490

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

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Secondary Practice Location 1

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Tatsuo Nishino reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stephen F. Austin Community Health Center, Inc.

9.2 mi

Federally Qualified Health Center (FQHC)

1111 W. ADOUE STREET
Alvin, TX 77511

Reassigned Medicare billing, Texas enrollment
191 clinicians in this Medicare group

NPI 1578730818 (281) 824-1480

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

SHERALYN DEVONNE LITTLES LPC

Counselor

2552 BROADWAY ST STE 102
PEARLAND, TX 77581

Brazoria County (281) 824-1480

VERONICA CAVAZOS

Counselor (Professional)

2552 BROADWAY ST STE 102
PEARLAND, TX 77581

Brazoria County (281) 824-1480

STEPHEN F AUSTIN COMMUNITY HEALTH CENTER, INC

Clinic/Center (Federally Qualified Health Center (FQHC))

2552 BROADWAY ST STE 102
PEARLAND, TX 77581

Brazoria County (281) 824-1480

COURTNEY JACOCKS D.D.S.

Dentist (General Practice)

2552 BROADWAY ST STE 102
PEARLAND, TX 77581

Brazoria County (281) 824-1490

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.

Which organization bills Medicare for Tatsuo Nishino's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tatsuo Nishino reassigns Medicare benefits to Stephen F. Austin Community Health Center, Inc. (Alvin, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tatsuo Nishino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 20 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.