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DECATUR 2016 LLC
NPI 1891041570
Dentist - General Practice in Decatur, IL

Active since July 31, 2012
141 EPERSHING RD, DECATUR, IL 62526(888) 988-4066(847) 496-7603 Get Directions Write a Review

NPPES record last updated: July 31, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Decatur 2016 Llc NPPES

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

DECATUR 2016 LLC (NPI 1891041570) is a healthcare organization registered as a general practice in Decatur, Illinois and active in the NPI registry since July 2012. The organization lists Koushan Azad, President, as its authorized official.

NPPES Registry Identity

NPI1891041570
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDECATUR 2016 LLC
Location Address141 EPERSHING RDDecatur, IL 62526
Mailing Address2050 E Algonquin Rd, Suite 610Schaumburg, IL 60173-4144 · (888) 988-4066 · Fax (847) 496-7603
Phone(888) 988-4066
Fax(847) 496-7603
Organization SubpartNo
Authorized OfficialKoushan AzadPresident · (888) 988-4066
Enumeration DateJuly 31, 2012
✔ NPI 1891041570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
141 EPERSHING RD, Decatur, IL 62526
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Decatur 2016 LLC's NPI number?

The NPI number for Decatur 2016 LLC is 1891041570. It was assigned to this organization in the NPPES registry on July 31, 2012.

Where is Decatur 2016 LLC located?

Decatur 2016 LLC is located at 141 Epershing Rd, Decatur, IL 62526. The listed phone number is (888) 988-4066.

What is Decatur 2016 LLC'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 Decatur 2016 LLC was last updated on July 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.