Active NPI
Kirsten Svaleson, DC
- Chiropractor
- Fargo, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1116
- Practice address
- 4500 36TH Ave S Ste 100
Fargo, ND 58104-5275 - Phone
- (701) 566-0078
- NPI assigned
- Nov 27, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1116 | ND | Primary |
Addresses
Primary practice location
4500 36TH Ave S Ste 100
Fargo, ND 58104-5275
Mailing address
4500 36TH Ave S Ste 100
Fargo, ND 58104-5275
Phone (701) 566-0078
Other practice location 1
3175 Sienna Dr S Ste 105
Fargo, ND 58104-8910
Phone (701) 451-9098
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | ND |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Fargo | Mason Orth, PC | |
| CONNECT URL | www.endurancefargo.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3154 41St St S
Suite 2
Fargo, ND 58104-9037
Phone (701) 566-0778
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1116 | ND | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endurance Sport and Spine, PLLC | Chiropractor | Current | Accepting new patients |
| Mason Orth, PC | Chiropractor | Current | Accepting new patients |
| Mason Orth PC | Chiropractor | Current | Accepting new patients |
Locations
3175 Sienna Dr S
Ste 105
Fargo, ND 58104
Phone (701) 451-9098
4500 36th Ave S
Ste 100
Fargo, ND 58104
Phone (701) 318-4731
3154 41st St S
Ste 2
Fargo, ND 58104
Phone (701) 566-0778
Organizations & group practices 3
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.
-
- Chiropractor
- Fargo, ND
- NPI 1295338994
-
- Chiropractor
- Fargo, ND
- NPI 1639367121
-
- Chiropractor
- Fargo, ND
- NPI 1164847604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610323200000",
"number": "1003452822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 36TH AVE S STE 100",
"city": "FARGO",
"state": "ND",
"postal_code": "581045275",
"telephone_number": "701-566-0078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 36TH AVE S STE 100",
"city": "FARGO",
"state": "ND",
"postal_code": "581045275",
"telephone_number": "701-566-0078"
}
],
"practiceLocations": [
{
"address_1": "3175 Sienna Dr S Ste 105",
"address_purpose": "LOCATION",
"city": "Fargo",
"state": "ND",
"postal_code": "581048910",
"country_code": "US",
"telephone_number": "701-451-9098",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SVALESON",
"first_name": "KIRSTEN",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-27",
"last_updated": "2021-01-11",
"certification_date": "2021-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ND",
"license": "1116",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "ND"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Fargo",
"affiliation": "Y",
"affiliationName": "Mason Orth, PC",
"address_1": "3175 Sienna Dr S Ste 105",
"city": "Fargo",
"state": "ND",
"country_code": "US",
"postal_code": "581048910",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.endurancefargo.com",
"affiliation": "N",
"address_1": "4500 36th Ave S Ste 100",
"city": "Fargo",
"state": "ND",
"country_code": "US",
"postal_code": "581045275",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.