Healthcare Provider Details

I. General information

NPI: 1548127962
Provider Name (Legal Business Name): CARSON MOSSER P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1825 16TH ST SW
MINOT ND
58701-6428
US

IV. Provider business mailing address

1825 16TH ST SW
MINOT ND
58701-6428
US

V. Phone/Fax

Practice location:
  • Phone: 701-838-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. CARSON MOSSER
Title or Position: CHIROPRACTOR
Credential: DC
Phone: 701-509-4357