KALEB BLAINE SHUMARD DMD
NPI 1629964531
Dentist - General Practice in Decatur, IL

Q: What is Kaleb Shumard's NPI number?

The NPI number for Kaleb Shumard is 1629964531. It was assigned to this individual provider in the NPPES registry on June 16, 2025.

Q: What is Kaleb Shumard's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Kaleb Shumard was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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 June 16, 2025

1353 E MOUND RD STE 102, DECATUR, IL 62526(217) 877-1601 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kaleb Blaine Shumard Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KALEB BLAINE SHUMARD DMD (NPI 1629964531) is an individual general practice provider in Decatur, Illinois, licensed in Illinois (019036105) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1629964531

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameKALEB BLAINE SHUMARDCredential: DMD

Location Address1353 E MOUND RD STE 102Decatur, IL 62526-3676

Mailing Address4574 Nicklaus CtDecatur, IL 62526-9315 · (217) 259-5660

Phone(217) 877-1601

Sole ProprietorNo

Enumeration DateJune 16, 2025

NPPES CertifiedJune 16, 2025

✔ NPI 1629964531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IL · 019036105

Definition

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.

1353 E MOUND RD STE 102, Decatur, IL 62526

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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 Kaleb Shumard's NPI number?

The NPI number for Kaleb Shumard is 1629964531. It was assigned to this individual provider in the NPPES registry on June 16, 2025.

Where is Kaleb Shumard located?

Kaleb Shumard practices at 1353 E Mound Rd Ste 102, Decatur, IL 62526. The listed phone number is (217) 877-1601.

What is Kaleb Shumard's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Kaleb Shumard was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.