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Active NPI 1629964531 Individual Practitioner Male Practitioner

Dr. Kaleb Blaine Shumard , DMD

Dentist - General Practice • Decatur, IL

Professional Overview & Biography Verified Profile Summary

Dr. Kaleb Shumard, DMD is a registered healthcare professional specializing in Dentist - General Practice in Decatur, IL. Practice services are available at 1353 E MOUND RD STE 102 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1353 E Mound Rd Ste 102

Decatur, IL 625263676

Telephone 2178771601
Associated Practice Facility / Clinic
🏢 Kevin M. Artime Dmd Ltd Facility NPI 1295060903

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Decatur, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
22 Specialists

Practicing in Decatur, IL (5581 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-16
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019036105

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Kevin Artime , KEVIN ARTIME DMD

Dentist - General Practice

NPI 1770655540

KEVINARTIMEDMD

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 16, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location June 16, 2025

Registered at 1353 E MOUND RD STE 102, DECATUR, IL 625263676 (Tel: 2178771601)

📍
Updated Business Mailing Address June 16, 2025

Registered at 4574 NICKLAUS CT, DECATUR, IL 625269315 (Tel: 2172595660)

👤
Provider Name / Credentials Updated June 16, 2025

Recorded as KALEB SHUMARD, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2025

Dentist (License #019036105 in IL)

🟢
Initial NPI Registration & Enumeration June 16, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629964531
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2025
Last Update: June 16, 2025
Sole Proprietor: No

Mailing Address

4574 Nicklaus Ct

Decatur, IL 625269315

Phone: 2172595660

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.