Individual provider Active NPI

Ethan Michael Erwin, DDS

  • Dentist
  • Hot Springs, AR
National Provider Identifier
1073139143
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4429 Issued in AR
Practice address
102 Ridgeway St
Hot Springs, AR 71901-7100
Phone
(501) 624-7129
NPI assigned
Jun 24, 2020
Last updated
Apr 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4429 AR
Dentist 122300000X 4429 AR Primary

Addresses

Primary practice location

102 Ridgeway St
Hot Springs, AR 71901-7100

Mailing address

102 Ridgeway St
Hot Springs, AR 71901-7100
Phone (501) 624-7129

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
4429ARMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ethan Erwin DDS PLLC Dentist CurrentSince Apr 20, 2025 Accepting new patients
Tri Lakes Dentistry, PLLC General Practice PastSince Jun 1, 2020 Accepting new patients
Dr. T. Mark Anthony D.D.S. P.a. PastSince Jun 1, 2020 Accepting new patients
Robert J Barnett DDS PA General Practice PastSince Apr 20, 2025 Accepting new patients

Locations

102 Ridgeway St
Hot Springs, AR 71901
Phone (501) 506-5559

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1073139143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 RIDGEWAY ST",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719017100",
            "telephone_number": "501-624-7129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 RIDGEWAY ST",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719017100",
            "telephone_number": "501-624-7129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERWIN",
        "first_name": "ETHAN",
        "middle_name": "MICHAEL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-24",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "4429",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "4429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.