Jason Everett Decker, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

L1558 Issued in TX

Practice address

2017 Broadway St
Pearland, TX 77581-5501

Phone

(281) 485-9990

Fax

(281) 485-9469

NPI assigned

Oct 4, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: jason@pearland.pcc-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pearland Pediatric Urgent Care PA

  • Urgent Care Clinic/Center
  • Pearland, TX
  • NPI 1760888119
  NPD (past)
• Pearland Pediatrics

  • Pediatrics Physician
  • Pearland, TX
  • NPI 1588651681
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211500800000",
    "number": "1861489833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 BROADWAY ST",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775815501",
            "telephone_number": "281-485-9990",
            "fax_number": "281-485-9469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 BROADWAY ST",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775815501",
            "telephone_number": "281-485-9990",
            "fax_number": "281-485-9469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "JASON",
        "middle_name": "EVERETT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2008-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L1558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "L1558",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PROVIDER ID",
            "identifier": "145224503",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deanna L Davis DDS PLLC
• Barbara Deberry
• Myra Pacaldo Debonte, NP
• Brier Debose
• Sharqi Debose
• Daejanay Decruise
• Keondre Deflanders
• Maria Del Pino Castillo, MS, RN,RN-BC, CCRP
• Tanna Shanice Delahoussaye
• Elizabeth Delaney (Adams)

• Pediatrics Physician in Pearland, TX
• Providers in Pearland, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.