Mark A Mosser, DC
Individual provider Active NPI Chiropractor · Minot, ND
NPI 1023176641 · NPPES record last updated Mar 19, 2015
Key facts
- NPI
- 1023176641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 520 (ND)
- Practice address
- 1825 16TH St SW
Minot, ND 58701-6428 - Phone
- (701) 838-5000
- Fax
- (701) 852-1184
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mosser Chiropractic, PC
Practice addresses (Care Compare)
1825 16TH St SW
Minot, ND 58701-6428
Phone (701) 838-5000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041109001155 | ND | Practitioner - Chiropractic | 7315900495 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mosser Chiropractic, PC | Chiropractor | Current |
Accepting new patients |
Locations
1825 16th St SW
Minot, ND 58701
Phone (701) 838-1800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 520 | ND | Yes |
Addresses
Primary practice location
1825 16TH St SW
Minot, ND 58701-6428
Mailing address
1825 16TH St SW
Minot, ND 58701-6428
Phone (701) 838-5000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22902 | Other | ND | BLUE CROSS BLUE SHIELD |
Other providers in Minot, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.