Individual provider Active NPI

Kevin Gordon Paape, D.C.

  • Chiropractor
  • Fargo, ND
National Provider Identifier
1063485084
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
691 Issued in ND
Practice address
3290 20TH St SW
Suite 4
Fargo, ND 58104-5917
Phone
(701) 451-9070
Fax
(701) 364-5318
NPI assigned
Feb 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 691 ND Primary

Addresses

Primary practice location

3290 20TH St SW
Suite 4
Fargo, ND 58104-5917

Mailing address

3240 15TH St S
Ste C
Fargo, ND 58104-6188
Phone (701) 451-9070

Other identifiers 2

IdentifierTypeStateIssuer
929649200MedicaidMN
12243MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100526000888 ND Practitioner - Chiropractic 2668501867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healing Arts Chiropractic, PCGroup PAC ID 4183683667, 6 clinicians

Practice addresses (Care Compare)

3240 15TH St S
Suite C
Fargo, ND 58104-6188
Phone (701) 451-9070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
691NDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Arts Chiropractic, PC Chiropractor CurrentSince Jan 23, 2003 Accepting new patients
Healing Arts Chiropractic, PC Chiropractor CurrentSince Jan 23, 2003 Accepting new patients
Healing Arts Chiropractic, PC Chiropractor Past Accepting new patients
W G Paape Chiropractor PastSince Aug 1, 2013 Accepting new patients

Locations

3240 15th St S
Ste C
Fargo, ND 58104
Phone (701) 451-9070

3290 20th St S
Ste 4
Fargo, ND 58104
Phone (701) 451-9070

709 Dakota Ave
Ste B
Wahpeton, ND 58075
Phone (701) 591-2727

3306 Sheyenne St
Ste 210
West Fargo, ND 58078
Phone (701) 451-9070

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1063485084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 15TH ST S",
            "address_2": "STE C",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581046188",
            "telephone_number": "701-451-9070",
            "fax_number": "701-364-5318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3290 20TH ST SW",
            "address_2": "SUITE 4",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581045917",
            "telephone_number": "701-451-9070",
            "fax_number": "701-364-5318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAAPE",
        "first_name": "KEVIN",
        "middle_name": "GORDON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2026-07-13",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "929649200",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12243",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.