K Michelle Imboden, DDS,PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

K MICHELLE IMBODEN, DDS,PC

Practice address

326 N Rosser St
Forrest City, AR 72335-3247

Phone

(870) 633-4591

Fax

(870) 633-8460

NPI assigned

Jul 20, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Karen M Imboden, DDSNPI 1821182353

Title

Owner

Phone

(870) 633-4591

Specialties & licenses 1

Addresses

Other names 1

• Imboden Family Dentistry Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karen Michelle Imboden, D.D.S.

  • General Practice Dentistry
  • Forrest City, AR
  • NPI 1821182353
  NPD (past) Authorized official
• Caitlin K Graham, DDS

  • General Practice Dentistry
  • Forrest City, AR
  • NPI 1720579873
  NPD

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1265040877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 N ROSSER ST",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723353247",
            "telephone_number": "870-633-4591",
            "fax_number": "870-633-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 N ROSSER ST",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723353247",
            "telephone_number": "870-633-4591",
            "fax_number": "870-633-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K MICHELLE IMBODEN, DDS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "IMBODEN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-633-4591",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Imboden Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Katherine Jones, FNP
• Ruthy Jones
• Tracy Jill Jones, APRN
• Jamie Jordan, PTA
• Shelia Jordan
• Kah Development 4, LLC
• Chelsea Kellow-Foister, APN
• Walter Kendrick, MHPP
• Megan Kerley
• Myra Susan Kersey, RN

• Dental Clinic/Center in Forrest City, AR
• Providers in Forrest City, AR by specialty
• Dental Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.