Karen Michelle Imboden, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3056 Issued in AR

Practice address

326 N Rosser St
Forrest City, AR 72335

Phone

(870) 633-4591

Fax

(870) 633-8560

NPI assigned

Oct 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• K Michelle Imboden, DDS,PC

  dba Imboden Family Dentistry

  • Dental Clinic/Center
  • Forrest City, AR
  • NPI 1265040877
  NPD (past) Authorized official
• Graham Family Dental, PLLC

  • General Practice Dentistry
  • Forrest City, AR
  • NPI 1275129116
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821182353",
    "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": "72335",
            "telephone_number": "870-633-4591",
            "fax_number": "870-633-8560"
        },
        {
            "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": "72335",
            "telephone_number": "870-633-4591",
            "fax_number": "870-633-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMBODEN",
        "first_name": "KAREN",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "710770496",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124517608",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "001434036",
            "identifier": "UNITED CONCORDIA",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "71-0770496",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "58814",
            "identifier": "BLUE CROSS BS FEDERA",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Baylee Danielle Humphrey
• Ellen Renee Hundley, OTR/L
• Bridget N Hunt-Miller
• Benita Hunt
• Cassie Hunt, MHPP
• Linda Ingle, LPC
• Alton R Irwin, PHD
• Henein T. Iskander
• Nizar Chafik Issa, M.D
• Mattie Ivy, SLP

• General Practice Dentistry in Forrest City, AR
• Providers in Forrest City, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.