Active NPI
Dhaara Antani, RDN, MPH
- Registered Dietitian
- Detroit, MI
National Provider Identifier
1902422751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86119679
- Practice address
- 5555 Conner St
Detroit, MI 48213-3448 - Phone
- (313) 344-4100
- NPI assigned
- Jun 17, 2020
- Last updated
- Jun 17, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86119679 | MI | Primary |
Addresses
Primary practice location
5555 Conner St
Detroit, MI 48213-3448
Mailing address
1468 Prestbury CT
Canton, MI 48187-2977
Phone (734) 945-3036
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86119679 | Other | MI | COMMISSION ON DIETETIC REGISTRATION (CDR) |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 86119679 | MI | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592352000000",
"number": "1902422751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1468 PRESTBURY CT",
"city": "CANTON",
"state": "MI",
"postal_code": "481872977",
"telephone_number": "734-945-3036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5555 CONNER ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482133448",
"telephone_number": "313-344-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTANI",
"first_name": "DHAARA",
"credential": "RDN, MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-17",
"last_updated": "2020-06-17",
"certification_date": "2020-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MI",
"license": "86119679",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMISSION ON DIETETIC REGISTRATION (CDR)",
"identifier": "86119679",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
- Kelila Anstett, LMSW
- Answering the Call Medical Consulting Services PLLC (Peds Urgent Care)
- Answering the Call Medical Consulting Services PLLC (Peds Wellcare)
- Amelia Answorth, LLMSW
- Fadi Antaki, M.D.
- Mahmoud Samieer Anteet, M.D
- Anthem Visiting Physicians, P.C.
- Elexus Anthony-May
- Heather Anthony
- Jevitas Letrice Anthony, SOCIAL WORKER
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.