NORTH DAKOTA SURGERY CENTER, LLC
NPI 1164428272
Clinic/Center - Ambulatory Surgical in Grand Forks, ND

Active since June 23, 2005CLIA 35D0992799 · Waiver
2600 47TH AVE SOUTH, GRAND FORKS, ND 58201(701) 738-4248(701) 775-3153 Get Directions Write a Review

NPPES record last updated: February 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 19, 2020, Jul 10, 2018, Apr 23, 2018 and 1 more (4 updates tracked since 2016).

About North Dakota Surgery Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH DAKOTA SURGERY CENTER, LLC (NPI 1164428272) is a healthcare organization registered as an ambulatory surgical in Grand Forks, North Dakota and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through October 24, 2027 and lists Jennifer Boyd Baldock, Officer And Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1164428272
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameNORTH DAKOTA SURGERY CENTER, LLC
Location Address2600 47TH AVE SOUTHGrand Forks, ND 58201
Mailing Address3035 Demers AveGrand Forks, ND 58201-4040 · (701) 738-4240 · Fax (701) 775-3153
Fax(701) 775-3153
Organization SubpartNo
Authorized OfficialJennifer Boyd BaldockOfficer And Authorized Official · (615) 234-5935
Enumeration DateJune 23, 2005
Last NPPES UpdateFebruary 19, 20204 updates tracked since enumeration
NPI 1164428272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in ND · 35C0001011
2600 47TH AVE SOUTH, Grand Forks, ND 58201

Other Identifiers 1

Medicaid10202ND

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 35D0992799

North Dakota Surgery Center · Grand Forks, ND
Active · expires Oct 24, 2027
CLIA Number35D0992799
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 25, 2025
Certificate Expiration DateOctober 24, 2027
Laboratory DirectorKami Danner
Laboratory Phone(701) 775-3151
Laboratory LocationNorth Dakota Surgery Center2600 47th Ave S, Grand Forks, ND 58201
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 19

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.

Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg C9088
Instillation of bupivacaine and meloxicam involves administering these medications into your body, usually through an injection. Bupivacaine is a local anesthetic that numbs specific areas, and meloxicam is an anti-inflammatory drug that reduces pain and swelling.
25,604 services62 patients
Injection, bupivacaine liposome, 1 mg C9290
Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.
6,118 services21 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
690 services409 patients
Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml J1097
This solution is used during eye surgery to maintain pupil dilation and reduce inflammation. Phenylephrine widens the pupil, while Ketorolac helps to prevent pain and swelling. It's applied directly to the eye by your healthcare provider during the procedure.
124 services22 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
50 services47 patients
Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye 66991
This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.
49 services30 patients

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 North Dakota Surgery Center, LLC's NPI number?

The NPI number for North Dakota Surgery Center, LLC is 1164428272. It was assigned to this organization in the NPPES registry on June 23, 2005.

Where is North Dakota Surgery Center, LLC located?

North Dakota Surgery Center, LLC is located at 2600 47th Ave South, Grand Forks, ND 58201. The listed phone number is (701) 738-4248.

What is North Dakota Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does North Dakota Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 35D0992799) is associated with this NPI, valid through October 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does North Dakota Surgery Center, LLC accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list North Dakota Surgery Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for North Dakota Surgery Center, LLC was last updated on February 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.