Individual provider Active NPI

Ethan Michael Ake, DDS

  • General Practice Dentistry
  • Little Rock, AR
National Provider Identifier
1326577347
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4172 Issued in AR
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
4172ARMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ethan Ake Dental PLLC CurrentSince Jun 26, 2022 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.

Verify at the official NPI Registry.