Individual provider Active NPI

Mason J Orth, D.C.

  • Chiropractor
  • Fargo, ND
National Provider Identifier
1336150333
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
685 Issued in ND
Practice address
4141 31St Ave. South
Suite 102
Fargo, ND 58104
Phone
(701) 451-9098
Fax
(701) 451-9099
NPI assigned
Aug 11, 2006
Last updated
Feb 1, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 685 ND Primary

Addresses

Primary practice location

4141 31St Ave. South
Suite 102
Fargo, ND 58104

Mailing address

3175 Sienna Dr S
Ste 105
Fargo, ND 58104-8910
Phone (701) 451-9098

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070801000058 ND Practitioner - Chiropractic 4486745791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mason Orth, PCGroup PAC ID 8123118205, 2 clinicians

Practice addresses (Care Compare)

3175 Sienna S Dr
Suite 105
Fargo, ND 58104-8910
Phone (701) 451-9098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
685NDMDChiropractor
5396MNMDNeonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mason Orth PC Chiropractor CurrentSince Oct 1, 2007 Accepting new patients

Locations

3175 Sienna Dr S
Ste 105
Fargo, ND 58104
Phone (701) 451-9098

4141 31st Ave S
Ste 102
Fargo, ND 58104
Phone (701) 451-9098

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1336150333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3175 SIENNA DR S",
            "address_2": "STE 105",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048910",
            "telephone_number": "701-451-9098",
            "fax_number": "701-451-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 31ST AVE. SOUTH",
            "address_2": "SUITE 102",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58104",
            "telephone_number": "701-451-9098",
            "fax_number": "701-451-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTH",
        "first_name": "MASON",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "685",
            "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 Feb 1, 2017; 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.