Decatur 2014
Decatur 2014 is a healthcare organization registered as General Practice Dentistry in Decatur, IL, holding Type 2 (organization) NPI 1003179482 since 2012. The authorized official on file is Koushan Azad, Oenwr /President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1003179482 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Decatur 2014 |
| Practice address | 141 E PERSHING RD, SUITE 610, Decatur, IL, 62526 |
| Phone | 8889884066 |
| Fax | 8474967603 |
| Enumeration date | 2012-06-20 |
| Last updated in NPPES | 2012-06-20 |
Authorized official
| Name | Koushan Azad |
|---|---|
| Title | Oenwr /President |
| Phone | 8889884066 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | — | — |
Copy-ready billing details
Provider: Decatur 2014 NPI: 1003179482 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 141 E PERSHING RD, SUITE 610, Decatur, IL, 62526
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1508127135 | Kyoung Yun Lee | Individual | Dentist | Decatur, IL |
| 1306107578 | Decatur 2012 LLC | Organization | Dental Clinic/Center | Decatur, IL |
| 1568725943 | Decatur 2013 LLC | Organization | General Practice Dentistry | Decatur, IL |
| 1417210857 | Decatur 2015 LLC | Organization | General Practice Dentistry | Decatur, IL |
| 1154758712 | Youngtak Chi | Individual | General Practice Dentistry | Decatur, IL |
| 1891276341 | Elizabeth Moore | Individual | Dentist | Decatur, IL |
| 1669218798 | Issa Sahouri | Individual | Dentist | Decatur, IL |
Verify this record
Cross-check NPI 1003179482 against the authoritative CMS record: view Decatur 2014 on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Decatur 2014 located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-06-20.