Muktar Farah, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D14215 Issued in MN

Practice address

8500 42ND Ave N
New Hope, MN 55427

Phone

(763) 762-8916

Fax

(763) 205-4564

NPI assigned

May 20, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Urgent Care Dental PLLC

  dba Crystal Clean Dental

  • Dental Clinic/Center
  • New Hope, MN
  • NPI 1578158929
  NPD Authorized official

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1871150417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 42ND AVE N",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "55427",
            "telephone_number": "763-762-8916",
            "fax_number": "763-205-4564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 42ND AVE N",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "55427",
            "telephone_number": "763-762-8916",
            "fax_number": "763-205-4564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Broadway St NE",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554131805",
            "country_code": "US",
            "telephone_number": "612-326-1300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Robert St S",
            "address_purpose": "LOCATION",
            "city": "West Saint Paul",
            "state": "MN",
            "postal_code": "551182308",
            "country_code": "US",
            "telephone_number": "651-340-9151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARAH",
        "first_name": "MUKTAR",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-20",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D14215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D14215",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cara Evans, PHARMD
• Fairview Express Care (M Health Fairview Pediatric Therapy - New Hope)
• Family & Cosmetic Gentle Dentistry, LTD
• Family and Cosmetic Gentle Dentistry
• Abdirihman Farah
• Lisa Ann Fernelius, RN
• Kristin Fiedler
• James Dorbor Flah, PCA/NAR
• Tineka Jackquette Flah, NURSE
• Sandra Flores Robles, MFT

• Dentist in New Hope, MN
• Providers in New Hope, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.