DR. AUSTIN RODENBERG DMD MSD NPI 1649844069

NPI Information

  • NPI: 1649844069
  • Provider Name: DR. AUSTIN RODENBERG, DMD, MSD
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6400 WESTWIND WAY STE C
    CRESTWOOD, KY
    ZIP 40014
  • Phone: (502) 754-6633

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NPI Details

DR. Austin Rodenberg, DMD, MSD is a pediatric dentistry dentist in Crestwood, KY. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Austin Rodenberg, DMD, MSD NPI is 1649844069. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6400 WESTWIND WAY STE C
CRESTWOOD, KY
ZIP 40014-773
Phone: (502) 754-6633
Fax: (859) 207-5102

The NPI 1649844069 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 5/19/2021 and was last updated on 5/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentist10612KENTUCKYNo
2390200000XStudent in an Organized Health Care Education/Training ProgramKENTUCKYNo
31223P0221XDentistPediatric Dentistry10612KENTUCKYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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