Individual provider Active NPI

Rachel Nicole Imboden, RDH

  • Dental Hygienist
  • Colorado Springs, CO
National Provider Identifier
1174493381
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
002025816 Issued in CO
Practice address
5752 Palmer Park Blvd
Colorado Springs, CO 80915-1511
Phone
(719) 445-0827
NPI assigned
Nov 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 002025816 CO Primary

Addresses

Primary practice location

5752 Palmer Park Blvd
Colorado Springs, CO 80915-1511

Mailing address

5752 Palmer Park Blvd
Colorado Springs, CO 80915-1511
Phone (719) 445-0827

Other names 1

  • Mrs. Rachel Nicole Podkonjak Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
002025816COMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1762819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1174493381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5752 PALMER PARK BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809151511",
            "telephone_number": "719-445-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5752 PALMER PARK BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809151511",
            "telephone_number": "719-445-0827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMBODEN",
        "first_name": "RACHEL",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-11",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "002025816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "PODKONJAK",
            "middle_name": "NICOLE",
            "prefix": "MRS.",
            "credential": "RDH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.