OrganizationActive
Optim Dental Peoria-1 LLC
NPI 1962943290 · General Practice Dentistry · Peoria, IL
Optim Dental Peoria-1 LLC is a General Practice Dentistry organization in Peoria, IL (NPI 1962943290).
Provider details
- NPI number
- 1962943290
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Srinivas Durshanapalli, President(217) 303-5955
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
1200 W Main St Ste 9
Peoria, IL 61606-1218
Phone: (309) 777-9777
Street-level locationGet directions
Mailing address
1200 W Main St Ste 9
Peoria, IL 61606-1218
Registry dates
- Enumerated
- 2017-03-20
- Last updated
- 2017-03-20
Frequently asked questions
- What is Optim Dental Peoria-1 LLC's NPI number?
- Optim Dental Peoria-1 LLC's National Provider Identifier (NPI) is 1962943290, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Optim Dental Peoria-1 LLC?
- Optim Dental Peoria-1 LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Optim Dental Peoria-1 LLC located?
- Optim Dental Peoria-1 LLC's practice location on file with NPPES is 1200 W Main St Ste 9, Peoria, IL 61606-1218.
- What is Optim Dental Peoria-1 LLC's phone number?
- The practice phone number listed in the NPPES registry for Optim Dental Peoria-1 LLC is (309) 777-9777.
- Who is the authorized official for Optim Dental Peoria-1 LLC?
- The authorized official listed on Optim Dental Peoria-1 LLC's NPPES record is Srinivas Durshanapalli, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Optim Dental Peoria-1 LLC's NPI active?
- Yes — Optim Dental Peoria-1 LLC's NPI (1962943290) is active in the NPPES registry as of the last update on 2017-03-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.