NPIMap

Organization Active NPI

Mason Orth, PC

Doing business as HealthSource of Fargo-Moorhead

  • Chiropractor
  • Fargo, ND
National Provider Identifier
1639367121
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MASON ORTH, PC
Doing business as
HealthSource of Fargo-Moorhead
Practice address
4141 31St Ave S
Suite 102
Fargo, ND 58104-8778
Phone
(701) 451-9098
Fax
(701) 451-9099
NPI assigned
Oct 9, 2007
Last updated
Jun 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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

Authorized official

Name
Dr. Mason Joe Orth, D.C.NPI 1336150333
Title
Owner
Phone
(701) 451-9098

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

4141 31St Ave S
Suite 102
Fargo, ND 58104-8778

Mailing address

4141 31St Ave S
Suite 102
Fargo, ND 58104-8778
Phone (701) 451-9098

Other names 1

  • HealthSource of Fargo-Moorhead Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071212000694 ND Part B Supplier - Clinic/Group Practice 8123118205 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
Practice locations: Fargo, ND

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1639367121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 31ST AVE S",
            "address_2": "SUITE 102",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048778",
            "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 S",
            "address_2": "SUITE 102",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048778",
            "telephone_number": "701-451-9098",
            "fax_number": "701-451-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASON ORTH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "ORTH",
        "authorized_official_first_name": "MASON",
        "authorized_official_middle_name": "JOE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-451-9098",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthSource of Fargo-Moorhead",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.