Individual provider Active NPI

Matthew C. Casperson, D.C.

  • Chiropractor
  • Fargo, ND
National Provider Identifier
1093256588
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1081 Issued in ND
Practice address
3252 51St St S Ste a
Fargo, ND 58104-7897
Phone
(701) 730-3867
Fax
(701) 639-0934
NPI assigned
Mar 16, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6337 MN
Chiropractor 111N00000X 1081 ND Primary

Addresses

Primary practice location

3252 51St St S Ste a
Fargo, ND 58104-7897

Mailing address

3252 51St St S Ste a
Fargo, ND 58104-7897
Phone (701) 730-3867

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180411002767 ND Practitioner - Chiropractic 8123393048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Venture Chiropractic PA CorpGroup PAC ID 8820129141, 3 clinicians

Practice addresses (Care Compare)

3252 51St St S
Suite a
Fargo, ND 58104-7897
Phone (701) 730-3867

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6337MNMDChiropractor
1081NDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Venture Chiropractic PA Corp Chiropractor CurrentSince Mar 19, 2018 Accepting new patients

Locations

2553 Kirsten Ln S
Ste 207
Fargo, ND 58104
Phone (701) 232-8200

3252 51st St S
Ste A
Fargo, ND 58104
Phone (701) 730-3867

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.

NPI Registry JSON

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1093256588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3252 51ST ST S STE A",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047897",
            "telephone_number": "701-730-3867",
            "fax_number": "701-639-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3252 51ST ST S STE A",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047897",
            "telephone_number": "701-730-3867",
            "fax_number": "701-639-0934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASPERSON",
        "first_name": "MATTHEW",
        "middle_name": "C.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-16",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6337",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "1081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Aug 20, 2020; 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.

Verify at the official NPI Registry.