How North Dakota's ZIP codes measure up on health

Name: North Dakota health by ZIP code — ZipVitals Score rollup
Creator: ZipVitals
License: https://creativecommons.org/licenses/by/4.0/

The ZipVitals Score across North Dakota — built one ZIP code at a time, then rolled up to the state by resident population.

Data release 2026371 of 383 ZIP codes scored · 0.78M residents represented

Open the full ranking →Download the data (CSV)How the Score works

Score snapshot

55.95Statewide ZipVitals Scorepopulation-weighted average of its ZIP codes

54.31Median scoremiddle of 371 scored ZIPs

65.54Highest score58503 · Bismarck

15.43Lowest score58538 · Fort Yates

50.12Spreadpoints between highest & lowest ZIP

People & national context

#17State rankof 51 states and equivalents with a computed score

21%Residents in below-average ZIPs0.16M of 0.78M, in ZIPs scoring under the national average (53.48)

0.18MResidents in the top 50 ZIPs23% of the state

0.06MResidents in the bottom 50 ZIPs8% of the state

0ZIPs in the national top 100—

North Dakota's ZIP codes, ranked

Highest-scoring

Top 50 of 371

Open the full North Dakota ranking →One page, all 371 scored ZIPs — sortable by score, residents, or place

What the distribution shows

Across North Dakota’s 383 ZIP codes, the ZipVitals Score spans a wide range. 371 of them carry enough measured coverage across all nine health domains to enter the population-weighted composite above; the rest are held out rather than filled from a coarser geography.

Assembled from the same ZIP-level data as every per-ZIP page. Read the full method →

Where North Dakota stands, domain by domain

The ZipVitals Score above combines nine domains of health into one number. This is where North Dakota's ZIP codes sit against ZIP codes across the country on each of them, weighted by how many residents live in each one — strongest at the top.

Strongest domain

Mental Health · 75th

Weighted by residents, this state’s ZIP codes sit around the 75th percentile of US ZIP codes here — its highest of the nine scoring domains.

Weakest domain

Environmental Hazard · 26th

Weighted by residents, this state’s ZIP codes sit around the 26th percentile of US ZIP codes here — its lowest of the nine scoring domains.

Mental Health75

Social Need / SDOH74

Chronic Disease Burden73

Disability72

Climate / Disaster Risk62

Healthcare Access57

Risk Behavior48

Preventive Care43

Environmental Hazard26

Read each bar as a national percentile from 0 to 100. The dark line marks the national median: a bar past it means North Dakota's ZIP codes typically place above most ZIP codes in the country on that domain. A domain North Dakota cannot place honestly is shown greyed as "Not enough data" rather than given a number.

Each figure is the population-weighted average of this state's ZIP codes' standing on that domain, compared with the ZIP codes measured across all nine scoring domains — not with all US ZIP codes. A ZIP code counts toward a domain only if it carries enough measured data on it and enough of North Dakota's residents live in the ZIP codes that do; the rest are held out rather than filled in from a coarser geography. Read the full method →

Why this matters

The ZipVitals Score combines nine domains of health — from chronic disease and preventive care to environmental hazard, social need, and healthcare access — into one 0–100 index for each ZIP code, computed the same way everywhere from public federal and academic data. The North Dakota figures on this page are population-weighted rollups of those per-ZIP scores, so they describe North Dakota's residents rather than a coarser geography relabeled as the state.

A high score describes favorable documented conditions; it is not a claim about individual residents, and it does not capture everything that shapes a community's health. Where a ZIP code scores low, that pattern reflects structural conditions — investment, environment, and access — far more than the choices of the people who live there.