Active NPI
Jeffrey Decker
- Other Technician
- Houston, TX
National Provider Identifier
1053809913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 9494 Kirby Dr
Houston, TX 77054-2521 - Phone
- (713) 791-9080
- Fax
- (713) 791-9084
- NPI assigned
- Apr 26, 2018
- Last updated
- Apr 26, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Primary |
Addresses
Primary practice location
9494 Kirby Dr
Houston, TX 77054-2521
Mailing address
5959 Shallowford Rd Ste 443
Chattanooga, TN 37421-2245
Phone (423) 756-2268
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ATP6847 | Other | RESNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524700800000",
"number": "1053809913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5959 SHALLOWFORD RD STE 443",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374212245",
"telephone_number": "423-756-2268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9494 KIRBY DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770542521",
"telephone_number": "713-791-9080",
"fax_number": "713-791-9084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECKER",
"first_name": "JEFFREY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-26",
"last_updated": "2018-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RESNA",
"identifier": "ATP6847",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.