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

Q: What is the provider's specialty?

The provider's specialty is Chiropractor with taxonomy code 111N00000X.

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: July 19, 2026.

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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 2024 & 2026 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.

376 services22 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.

LISA T LEY PA-C

Physician Assistant (Medical)

3400 W 66TH ST, STE 385
EDINA, MN 55435

Hennepin County (952) 920-2761

KATHLEEN ANN BECKMAN RN, CNP

Nurse Practitioner (Gerontology)

3400 W 66TH ST, SUITE 290
EDINA, MN 55435

Hennepin County (952) 914-1745

SARAH M BENISH M.D.

Psychiatry & Neurology (Neurology)

3400 W 66TH ST, SUITE 150
EDINA, MN 55435

Hennepin County (952) 920-7200

JEAN DUNBAR GNP

Nurse Practitioner (Gerontology)