Organization Active NPI

Mosser Chiropractic, PC

  • Chiropractor
  • Minot, ND
National Provider Identifier
1962532804
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
520 Issued in ND
Legal business name
MOSSER CHIROPRACTIC, PC
Practice address
1825 16TH St SW
Minot, ND 58701-6428
Phone
(701) 838-5000
Fax
(701) 852-1184
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Dr. Mark Mosser, DCNPI 1023176641
Title
Owner
Phone
(701) 838-5000

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: 193400000X SINGLE SPECIALTY GROUP 111N00000X 520 ND Primary

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 1

IdentifierTypeStateIssuer
01446001OtherNDBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041012001281 ND Part B Supplier - Clinic/Group Practice 4789644956 Receives reassigned benefits from 2 practitioners
Practice locations: Minot, ND

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1962532804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 16TH ST SW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016428",
            "telephone_number": "701-838-5000",
            "fax_number": "701-852-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 16TH ST SW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016428",
            "telephone_number": "701-838-5000",
            "fax_number": "701-852-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSSER CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "MOSSER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-838-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01446001",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.