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DR. TIMOTHY PETER FARGO D.C.
NPI 1972641363
Chiropractor in Edina, MN

Active since February 01, 2007
3400 W 66TH ST, SUITE 128, EDINA, MN 55435(952) 835-6750(952) 835-4723 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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

NPI1972641363
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. TIMOTHY PETER FARGOCredential: D.C.
Location Address3400 W 66TH ST, SUITE 128Edina, MN 55435-2111
Mailing Address3400 W 66th St, Suite 128Edina, MN 55435-2111 · (952) 835-6750 · Fax (952) 835-4723
Phone(952) 835-6750
Fax(952) 835-4723
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateFebruary 1, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1972641363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 1916
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.
3400 W 66TH ST, Edina, MN 55435
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Other Identifiers 1

Medicare UPINT39822MN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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).

PECOS PAC ID7315843919
PECOS Enrollment IDI20120209000080

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.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
420 services27 patients

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.

MISS KELSEY MARIE KUHLMAN MS CCC-SLP
Speech-Language Pathologist
3400 W 66TH ST
EDINA, MN 55435
Hennepin County (320) 292-0132
NICHOLAS ROFFERS
Speech-Language Pathologist
3400 W 66TH ST
EDINA, MN 55435
Hennepin County (952) 914-1965
PATRICIA L MITCHELL GNP
Nurse Practitioner (Gerontology)
3400 W 66TH ST, SUITE 400
EDINA, MN 55435
Hennepin County (952) 836-3637
SARAH M BENISH M.D.
Psychiatry & Neurology (Neurology)
3400 W 66TH ST, SUITE 150
EDINA, MN 55435
Hennepin County (952) 920-7200
PDR SOUTHDALE, INC
Occupational Therapist
3400 W 66TH ST, SUITE 450
EDINA, MN 55435
Hennepin County (952) 908-2700
DANA K WOOD P.T.
Physical Therapist
3400 W 66TH ST, SUITE 450
EDINA, MN 55435
Hennepin County (952) 908-2700
DR. BRUCE IRA IDELKOPE M.D.
Psychiatry & Neurology (Neurology)
3400 W 66TH ST, SUITE 150
EDINA, MN 55435
Hennepin County (952) 920-7200
SUSAN ETHEL GIRARD GNP
Nurse Practitioner (Gerontology)
3400 W 66TH ST, SUITE 400
EDINA, MN 55435
Hennepin County (952) 836-3637

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.

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.