Individual provider Active NPI

Erica Jane Parsons, DDS

  • General Practice Dentistry
  • Little Rock, AR
National Provider Identifier
1124540828
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4605 Issued in AR
Practice address
13500 Otter Creek Pkwy
Little Rock, AR 72210-5792
Phone
(501) 900-8119
NPI assigned
Jul 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4605 AR
Public Health Dentistry 1223D0001X D14097 MN
General Practice Dentistry 1223G0001X D14097 MN
General Practice Dentistry 1223G0001X 4605 AR Primary

Addresses

Primary practice location

13500 Otter Creek Pkwy
Little Rock, AR 72210-5792

Mailing address

13500 Otter Creek Pkwy
Little Rock, AR 72210-5792
Phone (501) 900-8119

Other practice location 1

309 Holly Ln
Mankato, MN 56001
Phone (320) 291-8831

Other names 1

  • Erica Jane Walters Former 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
D14097MNMDPublic Health Dentist
4605ARMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1124540828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13500 OTTER CREEK PKWY",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722105792",
            "telephone_number": "501-900-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13500 OTTER CREEK PKWY",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722105792",
            "telephone_number": "501-900-8119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 Holly Ln",
            "address_purpose": "LOCATION",
            "city": "Mankato",
            "state": "MN",
            "postal_code": "56001",
            "country_code": "US",
            "telephone_number": "320-291-8831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARSONS",
        "first_name": "ERICA",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-13",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "4605",
            "primary": false
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "MN",
            "license": "D14097",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D14097",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "4605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "WALTERS",
            "middle_name": "JANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.