Tarek Ziad Kaakani, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

D011707 Issued in AZ

Practice address

1996 W Dougs Park Rd
Camp Verde, AZ 86322-8044

Phone

(928) 567-1832

NPI assigned

Jul 5, 2017

Last updated

Aug 19, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: tarek.kaakani.p1@direct.nachci.nextgenshare.com

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.

• On Site Dental, PC

  • Pediatric Dentistry
  • Camp Verde, AZ
  • NPI 1487794798
  NPD (past)
• Family Health Center of Marshfield Inc

  dba Black River Falls Dental Center

  • Federally Qualified Health Center (FQHC)
  • Black River Falls, WI
  • NPI 1285325811
  NPD (past)
• Family Health Center of Marshfield Inc

  dba Family Health Center - Wisconsin Rapids Alcohol & Drug Recovery Center

  • Federally Qualified Health Center (FQHC)
  • Wisconsin Rapids, WI
  • NPI 1679447569
  NPD (past)

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1851812341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 767",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863220767",
            "telephone_number": "928-567-1832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1996 W DOUGS PARK RD",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863228044",
            "telephone_number": "928-567-1832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAAKANI",
        "first_name": "TAREK",
        "middle_name": "ZIAD",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-05",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D011707",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1001656-15",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Infinia at Camp Verde
• Inge's Uniquely Warm Assisted Living LLC
• Richard Jee, RPH, MS
• Jorge D Huston O D PLC (Camp Verde Eye Care)
• Kamli Jura, M.D.
• Francina Karulak
• Shawn Kinney, DMD
• Jerilyn Klingenberg, A.T.R.
• Anjaneyulu Kosaraju, MD
• Jack I. Lipton, D.M.D.

• Dentist in Camp Verde, AZ
• Providers in Camp Verde, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.