Carrie Akemi Imoto, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

53912 Issued in CA

Practice address

3511 Madison St
Riverside, CA 92504-3739

Phone

(310) 801-8010

NPI assigned

Oct 14, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Interoperability endpoints

• Direct secure messaging: cimoto@direct.westerndental.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223942400000",
    "number": "1164674859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18740 VIKINGS WAY",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907036169",
            "telephone_number": "310-801-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 MADISON ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925043739",
            "telephone_number": "310-801-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMOTO",
        "first_name": "CARRIE",
        "middle_name": "AKEMI",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-14",
        "last_updated": "2008-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "53912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph E. Imarah, MD
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• Immanuel Sobriety Inc.
• Immediate Care Home Health Services, Inc.
• Pascal J. Imperato, MD
• In Home Health LLC
• In Home Health LLC
• Paul Michiei Inae, MD
• Farah Inayat

• Orthodontics and Dentofacial Orthopedics Dentistry in Riverside, CA
• Providers in Riverside, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.