DR. CARRIE AKEMI IMOTO


Address: 3511 Madison St, Riverside, CA 92504-3739
Phone: 3108018010

DR. CARRIE AKEMI IMOTO (NPI# 1164674859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164674859
Entity Type Individual
Full Name DR. CARRIE AKEMI IMOTO
Credential DDS, MS
Practice Address 3511 Madison St
Riverside
CA 92504-3739
Mailing Address 18740 Vikings Way
Cerritos
CA 90703-6169
Practice Telephone 3108018010
Mailing Telephone 3108018010
Enumeration Date 2008-10-14
Last Update Date 2008-10-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
53912 CA Dental Providers

Office Location

Street Address 3511 MADISON ST
City RIVERSIDE
State CA
Zip Code 92504-3739

Providers in the same zip code

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1538630959 Just for Kids Pediatric Dentistry Raymond Wang Dentist 7071 Indiana Ave, Riverside, CA 92504 2018-12-11
1477047835 Deborah Kay Allen Peer Specialist 6939 Morningside Ave, Riverside, CA 92504 2018-06-19
1255833794 Adiana Loya Student in an Organized Health Care Education/Training Program 7550 Orchard St Apt #58, Riverside, CA 92504 2018-03-01
1023524162 Chiara Heyer Counselor 4130 Adams St Ste B, Riverside, CA 92504 2017-12-27
1801313408 Gustavo Gallo Avelar Behavioral Analyst 4125 Rucker Ln, Riverside, CA 92504 2017-08-24
1891226205 Susana Herold Assistant Behavior Analyst 17460 Krameria Ave, Riverside, CA 92504 2017-03-27
1710356167 Erandi Portugal Counselor 6711 Alrington Avenue, Riverside, CA 92504 2015-09-16
1548636012 Candace Lauren Bynder Counselor 6711 Arlington Avenue, Riverside, CA 92504 2015-08-19
Find all providers in zip 92504

Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245697473 Ronald Simus I Dentist 7170 Indiana Ave, Riverside, CA 92504-4544 2016-01-19
1538460811 Lee Eugene Olsen Dentist 3564 Van Buren Blvs, Riverside, CA 92503 2010-11-03
1043540164 Rosa Peng Dentist 10600 Magnolia Ave Ste A, Riverside, CA 92505-1819 2010-01-12
1871755652 Dr.h.c.ahuja Dds A P C Dentist 4959 Arlington Ave Ste H, Riverside, CA 92504-2756 2008-07-02
1063613842 Michael Chad Hawkins Dentist 3511 Madison Ave Suite F, Riverside, CA 92504 2007-05-30
1740492081 Larry B. Crawford Dentist 301 E Alessandro Blvd Ste 3b, Riverside, CA 92508-2464 2007-05-06
1013035153 C Douglas Fowler Dds Inc Dentist 6850 Brockton Avenue, Suite 103, Riverside, CA 92506-3826 2007-03-27
1750405288 E Jan Davidian Dentist 6886 Indiana Ave, Riverside, CA 92506-4218 2007-03-19
1528120797 Hongsheng Sam Tong Dentist 11705 Slate Ave Ste 150, Riverside, CA 92505-7119 2006-12-14
1538235767 Robert C Stockdale Dentist 3487 Central Ave, Riverside, CA 92506-2115 2006-11-28
Find all providers in RIVERSIDE

Competitor

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City RIVERSIDE
Zip Code 92504

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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