Active NPI
Mariah Mathison
- Chiropractor
- Fargo, ND
National Provider Identifier
1972428456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1255
- Practice address
- 4650 38TH Ave S Ste 140
Fargo, ND 58104-8544 - Phone
- (701) 478-6113
- NPI assigned
- Aug 12, 2026
- Last updated
- Aug 12, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1255 | ND | Primary |
Addresses
Primary practice location
4650 38TH Ave S Ste 140
Fargo, ND 58104-8544
Mailing address
4650 38TH Ave S Ste 140
Fargo, ND 58104-8544
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1972428456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4650 38TH AVE S STE 140",
"city": "FARGO",
"state": "ND",
"postal_code": "581048544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4650 38TH AVE S STE 140",
"city": "FARGO",
"state": "ND",
"postal_code": "581048544",
"telephone_number": "701-478-6113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHISON",
"first_name": "MARIAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-12",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ND",
"license": "1255",
"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 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.