NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Familia Dental Springfield 2 LLC

Dentist in Springfield, IL · enumerated 2011 · authorized official Koushan H Azad, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104109230

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Familia Dental Springfield 2 LLC
Other name <Unavail>
Practice address 802 N 9th St, Springfield, IL, 62702
Fax (847) 496-7202
Enumeration date Sep 26, 2011
Last updated in NPPES Sep 26, 2011

Taxonomy & classification

122300000X Dentist Dental Providers · License 019026920 (IL) Primary

Authorized official

Name Koushan H Azad
Title President

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 → Validate an NPI →

Frequently asked questions

Where is Familia Dental Springfield 2 LLC located?
The practice location on file with NPPES is in Springfield, IL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-09-26. Verify at npiregistry.cms.hhs.gov.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-09-26.