OrganizationActive
Elm Pediatric Dentistry, PLLC
NPI 1578255055 · Pediatric Dentistry · Crestwood, KY
Elm Pediatric Dentistry, PLLC is a Pediatric Dentistry organization in Crestwood, KY (NPI 1578255055).
Provider details
- NPI number
- 1578255055
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Austin Rodenberg, Dentist, Owner(270) 572-9309
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
6400 Westwind Way Ste C
Crestwood, KY 40014-6773
Phone: (502) 754-6633
Fax: (859) 207-5102
Street-level locationGet directions
Mailing address
934 Woodland Ridge Cir
La Grange, KY 40031-1373
Registry dates
- Enumerated
- 2023-05-23
- Last updated
- 2023-05-23
- Certified
- 2023-05-23
Frequently asked questions
- What is Elm Pediatric Dentistry, PLLC's NPI number?
- Elm Pediatric Dentistry, PLLC's National Provider Identifier (NPI) is 1578255055, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Elm Pediatric Dentistry, PLLC?
- Elm Pediatric Dentistry, PLLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Elm Pediatric Dentistry, PLLC located?
- Elm Pediatric Dentistry, PLLC's practice location on file with NPPES is 6400 Westwind Way Ste C, Crestwood, KY 40014-6773.
- What is Elm Pediatric Dentistry, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Elm Pediatric Dentistry, PLLC is (502) 754-6633.
- Who is the authorized official for Elm Pediatric Dentistry, PLLC?
- The authorized official listed on Elm Pediatric Dentistry, PLLC's NPPES record is Austin Rodenberg, Dentist, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Elm Pediatric Dentistry, PLLC's NPI active?
- Yes — Elm Pediatric Dentistry, PLLC's NPI (1578255055) is active in the NPPES registry as of the last update on 2023-05-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.