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DR. GARY DOUGLAS MELLUM D.C.
NPI 1750637013
Chiropractor in Fargo, ND

Active since July 24, 2012
5621 36TH AVE S, SUITE 200, FARGO, ND 58104(701) 429-7001 Get Directions Write a Review

NPPES record last updated: May 8, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2017, Feb 15, 2017 (2 updates tracked since 2017).

About Dr. Gary Douglas Mellum D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GARY DOUGLAS MELLUM D.C. (NPI 1750637013) is an individual chiropractor in Fargo, North Dakota, licensed in North Dakota (1039) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1750637013
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. GARY DOUGLAS MELLUMCredential: D.C.
Location Address5621 36TH AVE S, SUITE 200Fargo, ND 58104-5269
Mailing Address5621 36th Ave S, Suite 200Fargo, ND 58104-5269 · (701) 429-7001
Phone(701) 429-7001
Sole ProprietorYes
Enumeration DateJuly 24, 2012
Last NPPES UpdateMay 8, 20172 updates tracked since enumeration
✔ NPI 1750637013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in ND · 1039
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
5621 36TH AVE S, Fargo, ND 58104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTHSTAR CHIROPRACTIC
Chiropractor
5621 36TH AVE S, SUITE 200
FARGO, ND 58104
Cass County (701) 429-7001

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 Gary Mellum's NPI number?

The NPI number for Gary Mellum is 1750637013. It was assigned to this individual provider in the NPPES registry on July 24, 2012.

Where is Gary Mellum located?

Gary Mellum practices at 5621 36th Ave S Suite 200, Fargo, ND 58104. The listed phone number is (701) 429-7001.

What is Gary Mellum's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

What insurance does Gary Mellum accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Gary Mellum 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 Gary Mellum was last updated on May 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.