Active NPI
Mulki Issak Hassan, RDH, DT
- Dental Hygienist
- Crystal, MN
National Provider Identifier
1629858949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H11630
- Practice address
- 331 Willow BND
Crystal, MN 55428-3969 - Phone
- (763) 762-8916
- NPI assigned
- Oct 3, 2023
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | H11630 | MN | Primary |
Addresses
Primary practice location
331 Willow BND
Crystal, MN 55428-3969
Mailing address
1237 Wildwood Way
Chaska, MN 55318-9735
Phone (763) 843-6563
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 |
|---|---|---|---|
| H11630 | MN | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urgent Care Dental PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- New Hope, MN
- NPI 1578158929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1629858949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1237 WILDWOOD WAY",
"city": "CHASKA",
"state": "MN",
"postal_code": "553189735",
"telephone_number": "763-843-6563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 WILLOW BND",
"city": "CRYSTAL",
"state": "MN",
"postal_code": "554283969",
"telephone_number": "763-762-8916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSAN",
"first_name": "MULKI",
"middle_name": "ISSAK",
"name_prefix": "Ms.",
"credential": "RDH, DT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-03",
"last_updated": "2024-07-29",
"certification_date": "2024-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MN",
"license": "H11630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crystal, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.