Antara D Daru, DDS, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

0401412906 Issued in VA

Practice address

4660 Kenmore Ave Ste 300
Alexandria, VA 22304-1306

Phone

(703) 823-2422

NPI assigned

Sep 15, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• JDZ 19TH Street, PLLC

  • General Practice Dentistry
  • Washington, DC
  • NPI 1255046843
  NPD
• Smba Dentistry, PLLC

  • Periodontics
  • North Chesterfield, VA
  • NPI 1164999181
  NPD (past)
• Stephen Saroff, D.D.S. P.C.

  • Periodontics
  • Richmond, VA
  • NPI 1841339553
  NPD (past)

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1639487481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 KENMORE AVE STE 300",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041306",
            "telephone_number": "703-823-2422",
            "fax_number": "703-823-2489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 KENMORE AVE STE 300",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041306",
            "telephone_number": "703-823-2422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 McRae Rd",
            "address_2": "Suite C-1",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232353056",
            "country_code": "US",
            "telephone_number": "804-272-9079",
            "fax_number": "804-272-9107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DARU",
        "first_name": "ANTARA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-15",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "VA",
            "license": "0401412906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thien Dao, D.M.D.
• Christina Darius, SLP.D.,CCC-SLP
• Maria Elizabeth Darland, M.D.
• Krystal Darnell-Brown, LCSW
• Pamela Ketron Darnell, MD
• Divya Bose Das, PT, DPT
• Dafonso Turhan Davage Jr., PHARMD
• Hugo Adriano Davalos, M.D.
• Christiane Gallen Davenport, N.P.
• Kim Davenport, PSY.D.

• Periodontics in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Periodontics in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.