Active NPI
Dakota Pediatric Gastroenterology
- Pediatric Gastroenterology Physician
- Fargo, ND
National Provider Identifier
1285596809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- Legal business name
- DAKOTA PEDIATRIC GASTROENTEROLOGY
- Practice address
- 3284 51St St S Unit 3
Fargo, ND 58104-7983 - Phone
- (701) 532-2242
- NPI assigned
- Dec 2, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Timothy Blaufuss, DO
- Title
- Owner
- Phone
- (701) 532-2242
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | Primary |
Addresses
Primary practice location
3284 51St St S Unit 3
Fargo, ND 58104-7983
Mailing address
3419 Bohnet Blvd N
Fargo, ND 58102-1248
Phone (701) 532-2242
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Gastroenterology Physician
- Fargo, ND
- NPI 1245597384
-
- Pediatrics Physician
- Fargo, ND
- NPI 1659663557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764633600000",
"number": "1285596809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3419 BOHNET BLVD N",
"city": "FARGO",
"state": "ND",
"postal_code": "581021248",
"telephone_number": "701-532-2242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3284 51ST ST S UNIT 3",
"city": "FARGO",
"state": "ND",
"postal_code": "581047983",
"telephone_number": "701-532-2242"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAKOTA PEDIATRIC GASTROENTEROLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-02",
"last_updated": "2025-12-02",
"certification_date": "2025-12-02",
"status": "A",
"authorized_official_last_name": "BLAUFUSS",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "701-532-2242",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.