Efrain Alvarado Vargas

Primary specialty

DentistTaxonomy code 122300000X

License

019.036863 Issued in IL

Practice address

3737 E US Route 36
Decatur, IL 62521-5085

Phone

(217) 423-2400

NPI assigned

Feb 11, 2026

Last updated

Aug 20, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kelly Clark DDS PC

  dba Decatur Dental Care

  • General Practice Dentistry
  • Decatur, IL
  • NPI 1982839056
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1770768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1184576340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 PURYEAR ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462024463",
            "telephone_number": "317-845-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 E US ROUTE 36",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625215085",
            "telephone_number": "217-423-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVARADO VARGAS",
        "first_name": "EFRAIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-11",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.036863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kathryn Altherr, FNP-BC
• Phillip D Alward, M.D.
• Amanda Lewis Enterprises LTD
• Anthony Oria Amiewalan I, MD FACOG
• Melinda Sue Amos, RPH
• Anas Anas Sohail, M.D.

• Dentist in Decatur, IL
• Providers in Decatur, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.