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OrganizationActive

Decatur 2014

Dentist - General Practice

KOUSHAN AZAD
NPI: 1003179482Decatur, Illinois, 62526(888) 988-4066

About Decatur 2014

Decatur 2014 is a healthcare organization providing Dentist - General Practice services, with specialized expertise in General Practice, registered under National Provider Identifier (NPI) number 1003179482.

The authorized official for Decatur 2014 is KOUSHAN AZAD. The organization is headquartered at 141 E PERSHING RD, Decatur, Illinois 62526. The main office can be reached at (888) 988-4066. Decatur 2014 has been NPI-registered since 2012.

Locations & Contact

Primary Location

Address
141 E PERSHING RD
City
Decatur
State
Illinois
ZIP
62526-3213
Phone
(888) 988-4066
Fax
(847) 496-7603
View on Google Maps

Authorized Official

Name
KOUSHAN AZAD

Mailing Address

Address
2050 E ALGONQUIN RD
City
SCHAUMBURG
State
IL
ZIP
601734144

NPI Registration

Enumeration Date
Last Updated
Certification Date

Services & Taxonomy

Specialty & Classification

Primary Specialty
Dentist - General Practice
Classification
Dentist
Specialization
General Practice
Taxonomy Code
1223G0001X

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Decatur 2014's NPI number?
Decatur 2014's National Provider Identifier (NPI) is 1003179482. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Decatur 2014 specialize in?
Decatur 2014 specializes in Dentist - General Practice.
Where is Decatur 2014 located?
Decatur 2014 practices at 141 E PERSHING RD, Decatur, Illinois 62526. You can reach them by phone at (888) 988-4066.
Does Decatur 2014 accept Medicare?
Based on available data, Decatur 2014 is not currently enrolled in the Medicare program.
Does Decatur 2014 offer telehealth or virtual visits?
Decatur 2014 does not currently offer telehealth services. In-person visits are required at their practice location.

What is a Type 2 NPI (Organization)?

A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Decatur 2014 holds NPI 1003179482, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.