Ahmed Alaa Kaakarli, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901601781 Issued in MI

Practice address

3760 S Dort Hwy
Flint, MI 48507-2045

Phone

(810) 820-7766

NPI assigned

Jun 29, 2023

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1881371185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5965 WHETHERSFIELD LN APT 29F",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483011838",
            "telephone_number": "248-631-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3760 S DORT HWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072045",
            "telephone_number": "810-820-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAAKARLI",
        "first_name": "AHMED",
        "middle_name": "ALAA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901601781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• K & P Optimum Inc
• K.V. Mathew, M.D., P.C.
• K&J Loving Hands
• K&J Loving Hands
• K2 Dental Flint PLLC
• Mohd Majed Kachlan, DDS
• Michele Kackley, RN
• Atheer Kaddis, PHARM.D.
• Nicholas Kaddis, DDS
• Ahmad Kaddurah, MD

• General Practice Dentistry in Flint, MI
• Providers in Flint, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.