Individual provider Active NPI

Hodo M Dahir

  • Community/Behavioral Health Agency
  • Fridley, MN
National Provider Identifier
1134095755
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Practice address
941 Hillwind Rd NE Ste 205
Fridley, MN 55432-5962
Phone
(651) 468-8675
Fax
(651) 287-9835
NPI assigned
Oct 13, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

941 Hillwind Rd NE Ste 205
Fridley, MN 55432-5962

Mailing address

15389 104TH PL N
Maple Grove, MN 55369-7405
Phone (612) 407-7348

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

NPI Registry JSON

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

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1134095755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15389 104TH PL N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697405",
            "telephone_number": "612-407-7348",
            "fax_number": "651-287-9835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 HILLWIND RD NE STE 205",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554325962",
            "telephone_number": "651-468-8675",
            "fax_number": "651-287-9835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHIR",
        "first_name": "HODO",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fridley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; 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.