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Decatur 2013 LLC

General Practice Dentistry in Decatur, IL · enumerated 2012 · authorized official Koushan Azad, Owner /President.

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

National Provider Identifier

1568725943

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Registry record

Entity type Organization (Type 2)
Legal business name Decatur 2013 LLC
Practice address 141 E Pershing Rd, Decatur, IL, 62526
Fax (847) 496-7603
Enumeration date Jun 20, 2012
Last updated in NPPES Jun 20, 2012

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name Koushan Azad
Title Owner /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.

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Frequently asked questions

What type of organization is Decatur 2013 LLC?
Decatur 2013 LLC is registered in NPPES as a General Practice Dentistry (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-06-20.