Individual provider Active NPI

Eric Sharks, DDS

  • Dentist
  • Little Rock, AR
National Provider Identifier
1801932173
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9097 Issued in TN
Practice address
11312 Bass Pro Pkwy Suite C
Little Rock, AR 72210
Phone
(501) 747-1004
Fax
(501) 421-9070
NPI assigned
Jan 30, 2007
Last updated
Oct 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3252 AR
Dentist 122300000X 9097 TN Primary

Addresses

Primary practice location

11312 Bass Pro Pkwy Suite C
Little Rock, AR 72210

Mailing address

11312 Bass Pro Pkwy Suite C
Little Rock, AR 72210
Phone (501) 747-1004

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
3252ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
All Star Smiles Dentist CurrentSince Nov 12, 2023 Accepting new patients
Affordable Dentures & Implants - Oklahoma, PLLC Dentist Past Accepting new patients

Locations

11312 Bass Pro Pkwy
Ste C
Little Rock, AR 72210
Phone (501) 301-0537

Organizations & group practices 2

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1801932173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11312 BASS PRO PKWY SUITE C",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72210",
            "telephone_number": "501-747-1004",
            "fax_number": "501-421-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11312 BASS PRO PKWY SUITE C",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72210",
            "telephone_number": "501-747-1004",
            "fax_number": "501-421-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARKS",
        "first_name": "ERIC",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "3252",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "9097",
            "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 Oct 22, 2024; 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.