DR. TIMOTHY PETER FARGO D.C.
NPI 1972641363
Chiropractor in Edina, MN
About Dr. Timothy Peter Fargo D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TIMOTHY PETER FARGO D.C. (NPI 1972641363) is an individual chiropractor in Edina, Minnesota, licensed in Minnesota (1916) and active in the NPI registry since February 2007. He is a graduate of Other (1992).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Timothy Peter Fargo D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Timothy Fargo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Edina, MN 55435
- Reassigned Medicare billing, Minnesota enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EDINA, MN 55435
EDINA, MN 55435
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 Timothy Fargo's NPI number?
The NPI number for Timothy Fargo is 1972641363. It was assigned to this individual provider in the NPPES registry on February 1, 2007.
Where is Timothy Fargo located?
Timothy Fargo practices at 3400 W 66th St Suite 128, Edina, MN 55435. The listed phone number is (952) 835-6750.
What is Timothy Fargo's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Timothy Fargo enrolled in Medicare?
Yes. Timothy Fargo is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Timothy Fargo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Fargo reassigns Medicare benefits to Chiropractic Health & Wellness Center, P.A. (Edina, MN). The 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 Timothy Fargo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Timothy Fargo was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dr. Timothy Peter Fargo, D.C. · NPI 1972641363
Chiropractor provider in Edina, Minnesota. Individual provider, active in the CMS NPPES registry since February 1, 2007.
## Identity
- **NPI:** 1972641363 (Entity type: Individual)
- **Enumerated:** February 1, 2007
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 1916 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 3400 W 66TH ST, SUITE 128, Edina, MN 55435-2111
- **Phone:** (952) 835-6750 · **Fax:** (952) 835-4723
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Chiropractic Health & Wellness Center, P.A. (NPI 1780703678, Edina, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1992
## Record status
- **NPPES last updated:** July 9, 2007
- **Other identifiers:** Medicare UPIN T39822 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1972641363) · Data from the CMS NPPES public registry.