OrganizationActive
Southern Indiana Pediatric Dentistry, LLC
NPI 1356634471 · Pediatric Dentistry · Bloomington, IN
Southern Indiana Pediatric Dentistry, LLC is a Pediatric Dentistry organization in Bloomington, IN (NPI 1356634471).
Provider details
- NPI number
- 1356634471
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Matthew Rasche, Owner/Member(812) 661-0612
- License
- 12011284A (IN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
828 S Auto Mall Rd
Bloomington, IN 47401-5430
Phone: (812) 333-5437
Fax: (812) 333-6305
Street-level locationGet directions
Mailing address
828 S Auto Mall Rd
Bloomington, IN 47401-5430
Other names (DBA / former)
- Former legal business name
- Rasche Pediatric Dentistry, LLC
Registry dates
- Enumerated
- 2011-05-23
- Last updated
- 2011-11-22
Frequently asked questions
- What is Southern Indiana Pediatric Dentistry, LLC's NPI number?
- Southern Indiana Pediatric Dentistry, LLC's National Provider Identifier (NPI) is 1356634471, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Indiana Pediatric Dentistry, LLC?
- Southern Indiana Pediatric Dentistry, LLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Southern Indiana Pediatric Dentistry, LLC located?
- Southern Indiana Pediatric Dentistry, LLC's practice location on file with NPPES is 828 S Auto Mall Rd, Bloomington, IN 47401-5430.
- What is Southern Indiana Pediatric Dentistry, LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Indiana Pediatric Dentistry, LLC is (812) 333-5437.
- Who is the authorized official for Southern Indiana Pediatric Dentistry, LLC?
- The authorized official listed on Southern Indiana Pediatric Dentistry, LLC's NPPES record is Matthew Rasche, Owner/Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Indiana Pediatric Dentistry, LLC's NPI active?
- Yes — Southern Indiana Pediatric Dentistry, LLC's NPI (1356634471) is active in the NPPES registry as of the last update on 2011-11-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.