Duaa A Al-Ai Bki, DDS

Key facts

NPI

1104592245

Entity type

Individual (NPI type 1)

Primary specialty

General Practice Dentistry 1223G0001X

License

0401417579 (VA)

Practice address

44340 Premier PLZ Ste 200
Ashburn, VA 20147-5074

Phone

(703) 858-4222

NPI assigned

Aug 18, 2021

Sex

Female

Sole proprietor

No

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 and National Provider Directory roles.

• Jorge R. Rios, Inc. General Practice Dentistry · Ashburn, VA · NPI 1760643910
  NPD (past) GENERAL PRACTICE

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 18, 2021.

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1104592245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44340 PREMIER PLZ STE 200",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44340 PREMIER PLZ STE 200",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475074",
            "telephone_number": "703-858-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-AI BKI",
        "first_name": "DUAA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401417579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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