Individual provider Active NPI

Ayub Bashir Mohamed, DRIVER

  • Driver
  • Fargo, ND
National Provider Identifier
1215849161
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
MOH857677 Issued in ND
Practice address
1531 32ND Ave S Ste 102
Fargo, ND 58103-5911
Phone
(701) 799-8159
Fax
(701) 205-0815
NPI assigned
Sep 17, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X MOH857677 ND Primary

Addresses

Primary practice location

1531 32ND Ave S Ste 102
Fargo, ND 58103-5911

Mailing address

1531 32ND Ave S Ste 102
Fargo, ND 58103-5911
Phone (701) 799-8159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1215849161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 32ND AVE S STE 102",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581035911",
            "telephone_number": "701-799-8159",
            "fax_number": "701-205-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 32ND AVE S STE 102",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581035911",
            "telephone_number": "701-799-8159",
            "fax_number": "701-205-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "AYUB",
        "middle_name": "BASHIR",
        "credential": "DRIVER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-17",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "ND",
            "license": "MOH857677",
            "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 Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.