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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.

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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?
The practice location on file with NPPES is in Decatur, IL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-06-20. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-06-20.