Organization Active NPI

Twilight Tattoo

  • Medical Art Specialist/Technologist
  • Minneapolis, MN
National Provider Identifier
1295191708
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Art Specialist/TechnologistTaxonomy code 246ZA2600X
Legal business name
TWILIGHT TATTOO
Practice address
3054 Bloomington Ave
Minneapolis, MN 55407-1716
Phone
(612) 722-2233
NPI assigned
Jan 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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

Authorized official

Name
Toni Lousie Wallin
Title
Manager
Phone
(612) 214-1311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Art Specialist/TechnologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 246ZA2600X Primary

Addresses

Primary practice location

3054 Bloomington Ave
Minneapolis, MN 55407-1716

Mailing address

3054 Bloomington Ave
Minneapolis, MN 55407-1716
Phone (612) 722-2233

National Provider Directory

National Provider Directory

Locations

3054 Bloomington Ave
Minneapolis, MN 55407
Phone (612) 722-2233

NPI Registry JSON

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1295191708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3054 BLOOMINGTON AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071716",
            "telephone_number": "612-722-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3054 BLOOMINGTON AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071716",
            "telephone_number": "612-722-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWILIGHT TATTOO",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "WALLIN",
        "authorized_official_first_name": "TONI",
        "authorized_official_middle_name": "LOUSIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "612-214-1311"
    },
    "taxonomies": [
        {
            "code": "246ZA2600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Art, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.