Organization Active NPI

Michael E. Decherd, M.D., P.a.

  • Plastic Surgery Physician
  • San Antonio, TX
National Provider Identifier
1902851538
Registry record updated Apr 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
MICHAEL E. DECHERD, M.D., P.A.
Practice address
414 W Sunset Rd
Suite 215
San Antonio, TX 78209-1756
Phone
(210) 495-4100
Fax
(210) 495-4114
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2014

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

Authorized official

Name
Dr. Michael E. Decherd, M.D.
Title
President
Phone
(210) 495-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

414 W Sunset Rd
Suite 215
San Antonio, TX 78209-1756

Mailing address

PO Box 1073
San Antonio, TX 78294-1073
Phone (210) 495-4100

National Provider Directory

National Provider Directory

Locations

414 W Sunset Rd
Ste 215
San Antonio, TX 78209
Phone (210) 495-4100

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398729600000",
    "number": "1902851538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1073",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782941073",
            "telephone_number": "210-495-4100",
            "fax_number": "210-495-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 W SUNSET RD",
            "address_2": "SUITE 215",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091756",
            "telephone_number": "210-495-4100",
            "fax_number": "210-495-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL E. DECHERD, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2014-04-29",
        "status": "A",
        "authorized_official_last_name": "DECHERD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-495-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; 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.