JASON MICHAEL PECK (NPI# 1780021832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780021832 |
| Entity Type | Individual |
| Full Name | JASON MICHAEL PECK |
| Credential | DDS |
| Practice Address |
4518 Center St Deer Park TX 77536-6351 |
| Mailing Address |
6222 Fm 1374 Rd New Waverly TX 77358-3930 |
| Practice Telephone | 2814792841 |
| Mailing Telephone | 9362030166 |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2013-05-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
28995 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154557270 | Jason Robert Peck | Psychologist | 8 Barr St, Worcester, MA 01602-1804 | 2009-06-03 |
| 1437303500 | Jason E Peck | Physical Therapist | 75 Morningside Dr, Elmira, NY 14905-1914 | 2008-11-15 |
| 1972524361 | Jason A Peck | Psychiatry & Neurology | 8037 Corporate Center Drive, Suite 400, Charlotte, NC 28226-4550 | 2006-07-21 |
| 1235290693 | Jason Russell Peck | Pediatrics | 9 Richland Medical Park Dr Ste 530, Columbia, SC 29203-6870 | 2006-12-12 |
| Street Address |
4518 CENTER ST |
| City | DEER PARK |
| State | TX |
| Zip Code | 77536-6351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538557707 | Deer Park Family Dentistry | Dentist | 4518 Center St, Deer Park, TX 77536-6351 | 2014-12-22 |
| 1831587005 | Karen Jane Reeves | Dentist | 4518 Center St, Deer Park, TX 77536-6351 | 2014-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053965590 | Maria Conchita Fernandez Cuadrado | Physical Therapist | 3710 Center St Suite 102 Suite 102, Deer Park, TX 77536 | 2019-08-01 |
| 1013480961 | Eclipse Massage Therapy | Radiologic Technologist | 4321 Center St., Deer Park, TX 77536 | 2019-01-03 |
| 1952752750 | Denise Evelyn Bach | Nurse Practitioner | 5900 Highway 225 East, Shell Oil Company, Deer Park, TX 77536 | 2016-06-23 |
| 1194103739 | H-e-b, Lp | Clinical Medical Laboratory | 4701 East Blvd, Deer Park, TX 77536 | 2015-05-15 |
| 1053711408 | Leo Martinez I | Specialist/Technologist, Other | 602 Bayou Vista Dr, Deer Park, TX 77536 | 2014-09-03 |
| 1942588389 | Jacquetta Monae Davis | Dentist | 9001 Spencer Hwy Suite J, Deer Park, TX 77536 | 2011-08-03 |
| 1164745550 | Cenikor Foundation | Case Management | 4525 Glenwood Avenue, Deer Park, TX 77536 | 2010-03-12 |
| 1760670079 | Julia V Douglass Meadows | Counselor | 4650 Center Street, Deer Park, TX 77536 | 2007-10-11 |
| 1912035189 | Andrew Sparks Metz | Family Medicine | 2910 Center St., Deer Park, TX 77536 | 2007-03-01 |
| 1275690620 | Jack Quentin Cash Jr. | Dentist | 302 Center Street, Deer Park, TX 77536 | 2007-01-03 |
| Find all providers in zip 77536 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942588389 | Jacquetta Monae Davis | Dentist | 9001 Spencer Hwy Suite J, Deer Park, TX 77536 | 2011-08-03 |
| 1700101326 | Deer Park Dental Ltd | Dentist | 21660 W. Field Parkway, Deer Park, IL 60010 | 2010-04-07 |
| 1477784569 | Ryan Lynn Bates | Dentist | 309 W Crawford St, Deer Park, WA 99006-5087 | 2009-08-06 |
| 1447414958 | Gregg Mosley | Dentist | 2705 Center St, Deer Park, TX 77536-4955 | 2008-07-14 |
| 1467619577 | Patrick M. Schiraldi | Dentist | 1996 Deer Park Ave, Deer Park, NY 11729-2701 | 2008-05-18 |
| 1164637989 | Charles Lipenholtz | Dentist | 1919 Deer Park Ave, Deer Park, NY 11729-3396 | 2007-05-14 |
| 1245445808 | Cynthia Lafond Hargis | Dentist | 401 W San Augustine, Deer Park, TX 77536-4029 | 2007-05-14 |
| 1871714659 | Euane J. Newen | Dentist | 2053 Deer Park Avenue, Deer Park, NY 11729 | 2007-05-01 |
| 1730205295 | Charles Emery Campbell | Dentist | 2426 Center St, Deer Park, TX 77536-4902 | 2007-03-22 |
| 1588793509 | Maxwell Joseph Magid | Dentist | 83 Crossway Dr, Deer Park, NY 11729-6233 | 2007-03-05 |
| Find all providers in DEER PARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.