HEALTHSOURCE OF FARGO-MOORHEAD
NPI 1639367121
Chiropractor in Fargo, ND
About Healthsource Of Fargo-moorhead NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEALTHSOURCE OF FARGO-MOORHEAD (NPI 1639367121) is a healthcare organization registered as a chiropractor in Fargo, North Dakota and active in the NPI registry since October 2007. The organization lists Mason Joe Orth, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Healthsource Of Fargo-moorhead is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Healthsource Of Fargo-Moorhead, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mason Orth, PC's NPI number?
The NPI number for Mason Orth, PC is 1639367121. It was assigned to this organization in the NPPES registry on October 9, 2007. The provider is doing business as Healthsource Of Fargo-Moorhead.
Where is Mason Orth, PC located?
Mason Orth, PC is located at 4141 31st Ave S Suite 102, Fargo, ND 58104. The listed phone number is (701) 451-9098.
What is Mason Orth, PC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Mason Orth, PC enrolled in Medicare?
Yes. Mason Orth, PC is registered in the Medicare PECOS enrollment system.
When is Mason Orth, PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (North Dakota, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Mason Orth, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Chiropractic, reassign their Medicare billing to Mason Orth, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Mason Orth, PC accept?
Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Mason Orth, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mason Orth, PC was last updated on June 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Healthsource Of Fargo-Moorhead · NPI 1639367121
Chiropractor organization in Fargo, North Dakota. Organization record, active in the CMS NPPES registry since October 9, 2007.
## Identity
- **NPI:** 1639367121 (Entity type: Organization)
- **Enumerated:** October 9, 2007
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Legal business name:** Mason Orth, Pc
- **Organization subpart:** No
- **Authorized official:** Mason Orth, OWNER
## Practice location
- **Address:** 4141 31ST AVE S, SUITE 102, Fargo, ND 58104-8778
- **Phone:** (701) 451-9098 · **Fax:** (701) 451-9099
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, North Dakota, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians (Chiropractic) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 3, 2009
- **Other identifiers:** Medicare NSC 6154510002 (ND)
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Source: [NPI Profile](https://npiprofile.com/npi/1639367121) · Data from the CMS NPPES public registry.