Mary K. Booth, DDS
Dentist · Decatur, IL
Mary K. Booth, DDS is a dentist with a practice address in Decatur, Illinois, and NPI 1629205554, issued on Jun 18, 2009. Check the license (Illinois 019027977, as entered in NPPES) with the Illinois board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Mary K. Booth
- Credential
- DDS
- Primary taxonomy
- Dentist 122300000X
- License number
- 019027977 IL
Self-reported in NPPES; status is on the state search - Practice location
- 3250 N Woodford St, Decatur, IL 62526
- Phone
- (217) 877-1742
- Enumerated
- Jun 18, 2009
- Record last updated
- Aug 9, 2023
- Entity
- Type 1 · individual
8 nearest dentist records → All 4,522 in Illinois → Look up another NPI →
Also registered at 3250 N Woodford St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Ricky Simms, DMDGeneral Practice Dentistry1013931161
Verify Mary K. Booth in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Illinois board licenses this profession
Search for license 019027977Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Mary K. Booth among 4,522 dentist records in Illinois
Mary K. Booth, DDS is one of 4,522 dentist records with a practice address in Illinois. 64% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2009, is newer than 46% of them.
- NPI issued2009 · 46% of these records are older, 50% newer
- In a Medicare fileNo · 64% of these records are
- In the CMS Doctors and Clinicians fileNo · under 1% of these records are
- Record last updated2023 · 74% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 122300000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
27 dentist records list a practice address in Decatur
They are 27 of the 1,513 NPPES records with a practice address in Decatur, and 4,522 dentist records in Illinois. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 4,522 in Illinois → Every provider in Decatur → Dentist nationwide →
The 8 dentist records with the nearest ZIP codes
- Chad Burmeister, DMDDecatur, IL 625261942362348
- Natalie Corley, DMDDecatur, IL 625261184888539
- Mohammad Douleh, DMDDecatur, IL 625261477232023
- Michael Hage, DDS, MSDecatur, IL 625261013129436
- Marcia Hardy, DDSDecatur, IL 625261538261540
- Timothy Hastings, DDSDecatur, IL 625261932379500
- Rachel Ingram, D.D.S.Decatur, IL 625261528353893
- Nolan Lathrop, DMDDecatur, IL 625261720145741
Common questions
What is Mary K. Booth, DDS's NPI number?
Mary K. Booth, DDS's National Provider Identifier (NPI) is 1629205554, issued on Jun 18, 2009. An NPI identifies a provider in billing; it is not a license.
Where is Mary K. Booth, DDS located?
The NPPES record lists a practice address at 3250 N Woodford St, Decatur, IL, 62526. Phone: (217) 877-1742. Providers update this record themselves, so call before visiting.
How can I verify Mary K. Booth, DDS's license?
NPPES lists Illinois license number 019027977, as entered by the provider. Search the Illinois board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.