OrganizationActive
Decatur 2015 LLC
NPI 1417210857 · General Practice Dentistry · Decatur, IL
Decatur 2015 LLC is a General Practice Dentistry organization in Decatur, IL (NPI 1417210857).
Provider details
- NPI number
- 1417210857
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Koushan Azad, President(888) 988-4066
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
141 E Pershing Rd
Decatur, IL 62526-3213
Phone: (888) 988-4066
Fax: (847) 496-7603
Street-level locationGet directions
Mailing address
2050 E Algonquin Rd
Schaumburg, IL 60173-4144
Registry dates
- Enumerated
- 2012-06-20
- Last updated
- 2012-06-20
Frequently asked questions
- What is Decatur 2015 LLC's NPI number?
- Decatur 2015 LLC's National Provider Identifier (NPI) is 1417210857, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Decatur 2015 LLC?
- Decatur 2015 LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Decatur 2015 LLC located?
- Decatur 2015 LLC's practice location on file with NPPES is 141 E Pershing Rd, Decatur, IL 62526-3213.
- What is Decatur 2015 LLC's phone number?
- The practice phone number listed in the NPPES registry for Decatur 2015 LLC is (888) 988-4066.
- Who is the authorized official for Decatur 2015 LLC?
- The authorized official listed on Decatur 2015 LLC's NPPES record is Koushan Azad, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Decatur 2015 LLC's NPI active?
- Yes — Decatur 2015 LLC's NPI (1417210857) is active in the NPPES registry as of the last update on 2012-06-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.