Ethan Erwin DDS PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ETHAN ERWIN DDS PLLC

Practice address

102 Ridgeway St
Hot Springs, AR 71901-7100

Phone

(501) 624-7129

NPI assigned

Jun 2, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Ethan Erwin, DDSNPI 1073139143

Title

Owner

Phone

(501) 282-1098

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ethan Michael Erwin, DDS

  • Dentist
  • Hot Springs, AR
  • NPI 1073139143
  NPD Authorized official
• Robert J. Barnett Jr., D.D.S.

  • General Practice Dentistry
  • Hot Springs, AR
  • NPI 1821114257
  NPD (past)

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622592000000",
    "number": "1568038305",
    "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": {
        "organization_name": "ETHAN ERWIN DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A",
        "authorized_official_last_name": "ERWIN",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-282-1098",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240820608",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Erwin II, APRN
• Debra Kaye Erwin, R.D.
• Ethan Michael Erwin, DDS
• John Scott Erwin, MD
• Paul Michael Erwin, M.S., CCC,SLP
• Evans Family Counseling
• Linda Evans, MHPP
• Michael Lynn Evans, LCSW
• Andrew Jonathan Everett
• Bailey Grace Everett, PTA

• Dentist in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Dentist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.