Tattoo Removal Shop

Primary specialty

Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X

License

32775 Issued in MN

Legal business name

TATTOO REMOVAL SHOP

Practice address

7373 France Ave S
Suite 504
Edina, MN 55435-4549

Phone

(952) 922-9462

Fax

(952) 922-8914

NPI assigned

Feb 28, 2017

Organization subpart

Yes

Parent organization

TATTOO REMOVAL SHOPAs reported in NPPES

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

Authorized official

Name

Michael Towey, M.D.

Title

Owner/Operator

Phone

(952) 922-9462

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lion Thorn Clinic Doing business as

Part of

Tattoo Removal Shop

Locations

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1558801357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7373 FRANCE AVE S",
            "address_2": "SUITE 504",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354549",
            "telephone_number": "952-922-9462",
            "fax_number": "952-922-8914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7373 FRANCE AVE S",
            "address_2": "SUITE 504",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354549",
            "telephone_number": "952-922-9462",
            "fax_number": "952-922-8914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TATTOO REMOVAL SHOP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TATTOO REMOVAL SHOP",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "TOWEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "952-922-9462",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207PS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "MN",
            "license": "32775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276000200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lion Thorn Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tara Kaur DDS PLLC
• Abby Rose Tarrant
• Raul Eduardo Tarud Sabbag, M.D.
• Sujatha Tata, MD
• Douglas Tate, M.D.
• Rochelle R. Taube, MD
• ABA Taylor Ofori-Atta
• Audra Lynn Taylor, PTA
• Eddie L. Taylor Jr., M.D.
• Lorne Ian Taylor, MD

• Sports Medicine (Emergency Medicine) Physician in Edina, MN
• Providers in Edina, MN by specialty
• Sports Medicine (Emergency Medicine) Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.