Active NPI
Ethan Michael Ake, DDS
- General Practice Dentistry
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4172
- Practice address
- 7924 Cantrell Rd Ste B
Little Rock, AR 72227-2501 - Phone
- (501) 225-0113
- NPI assigned
- Jun 5, 2017
- Last updated
- Jun 24, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4172 | AR | Primary |
Addresses
Primary practice location
7924 Cantrell Rd Ste B
Little Rock, AR 72227-2501
Mailing address
7924 Cantrell Rd Ste B
Little Rock, AR 72227-2501
Phone (501) 225-0113
Other practice location 1
2022 S Buerkle St
Stuttgart, AR 72160-6508
Phone (870) 551-3836
Other practice location 2
9200 Chicot Rd
Little Rock, AR 72209-6107
Phone (501) 568-1823
Other practice location 3
7924 Cantrell Rd Ste B
Little Rock, AR 72227-2501
Phone (501) 225-0113
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4172 | AR | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ethan Ake Dental PLLC | Current | Accepting new patients |
Locations
7924 Cantrell Rd
Ste B
Little Rock, AR 72227
Phone (501) 225-0113
Organizations & group practices 1
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": "1496620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656028800000",
"number": "1326577347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7924 CANTRELL RD STE B",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722272501",
"telephone_number": "501-225-0113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7924 CANTRELL RD STE B",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722272501",
"telephone_number": "501-225-0113"
}
],
"practiceLocations": [
{
"address_1": "2022 S Buerkle St",
"address_purpose": "LOCATION",
"city": "Stuttgart",
"state": "AR",
"postal_code": "721606508",
"country_code": "US",
"telephone_number": "870-551-3836",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9200 Chicot Rd",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722096107",
"country_code": "US",
"telephone_number": "501-568-1823",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7924 Cantrell Rd Ste B",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722272501",
"country_code": "US",
"telephone_number": "501-225-0113",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AKE",
"first_name": "ETHAN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-05",
"last_updated": "2022-06-24",
"certification_date": "2022-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AR",
"license": "4172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 24, 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.