Organization Active NPI

Allina Health System

Doing business as Twin Cities Spine Center

  • Internal Medicine Physician
  • Minneapolis, MN
National Provider Identifier
1669871455
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ALLINA HEALTH SYSTEM
Doing business as
Twin Cities Spine Center
Practice address
913 E 26TH St
Suite 600
Minneapolis, MN 55404-4515
Phone
(612) 262-9000
NPI assigned
Aug 18, 2014
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Dominica Tallarico
Title
Coo
Phone
(612) 222-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

913 E 26TH St
Suite 600
Minneapolis, MN 55404-4515

Mailing address

PO Box 43
Mail Route 10585
Minneapolis, MN 55440-0043
Phone (612) 262-1166

Other practice location 1

675 E Nicollet Blvd Ste 130
Burnsville, MN 55337-6748
Phone (612) 775-6200

Other practice location 2

701 Dellwood St S
Cambridge, MN 55008-1920
Phone (612) 775-6200

Other practice location 3

2855 Campus Dr Ste 300
Plymouth, MN 55441-2682
Phone (612) 775-6200

Other practice location 4

1601 Saint Francis Ave Fl 2
Shakopee, MN 55379-3385
Phone (612) 775-6200

Other practice location 5

1155 County Road E E
Vadnais Heights, MN 55110-5183
Phone (612) 775-6200

Other practice location 6

8675 Valley Creek Rd
Woodbury, MN 55125-2337
Phone (612) 775-6200

Other practice location 7

225 Smith Ave N Fl 3
Saint Paul, MN 55102-2533
Phone (612) 775-6200

Other practice location 8

303 Catlin St
Buffalo, MN 55313-1947
Phone (612) 775-6200

Other practice location 9

775 Prairie Center Dr Ste 400
Eden Prairie, MN 55344-7322
Phone (612) 775-6200

Other practice location 10

11850 Blackfoot St NW Ste 405
Coon Rapids, MN 55433-2773
Phone (612) 775-6200

Other practice location 11

1880 N Frontage Rd
Hastings, MN 55033-2687
Phone (612) 775-6200

Other practice location 12

14181 Business Center Dr NW
Elk River, MN 55330-4654
Phone (612) 775-6222

Other practice location 13

18465 Orchard Trl
Lakeville, MN 55044-8885
Phone (612) 775-6200

Other practice location 14

2305 108th Ln NE
Blaine, MN 55449-5222
Phone (612) 775-6200

Other practice location 15

1324 5th St N
New Ulm, MN 56073-1514
Phone (612) 775-6200

Other names 1

  • Twin Cities Spine Center Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://esmd.cioxhealth.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service Other Ciox Health
CONNECT URL https://esmd.cioxhealth.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service Other Ciox Health

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040319000460 MN Part B Supplier - Clinic/Group Practice 4587573613 Receives reassigned benefits from 4,246 practitioners
This NPI is an additional NPI on the enrollment
O20221213001713 MN Part B Supplier - Clinic/Group Practice 4587573613 Receives reassigned benefits from 3,000 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory

Locations

520 Osborne Rd NE
Ste 120
Fridley, MN 55432
Phone (763) 236-4300

1601 Saint Francis Ave
Fl 2
Shakopee, MN 55379
Phone (612) 871-1144

Practitioners & affiliated clinicians

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1669871455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43",
            "address_2": "MAIL ROUTE 10585",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554400043",
            "telephone_number": "612-262-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 E 26TH ST",
            "address_2": "SUITE 600",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044515",
            "telephone_number": "612-262-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "675 E Nicollet Blvd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "553376748",
            "country_code": "US",
            "telephone_number": "612-775-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Dellwood St S",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MN",
            "postal_code": "550081920",
            "country_code": "US",
            "telephone_number": "612-775-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2855 Campus Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MN",
            "postal_code": "554412682",
            "country_code": "US",
            "telephone_number": "612-775-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 Saint Francis Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Shakopee",
            "state": "MN",
            "postal_code": "553793385",
            "country_code": "US",
            "telephone_number": "612-775-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1155 County Road E E",
            "address_purpose": "LOCATION",
            "city": "Vadnais Heights",
            "state": "MN",
            "postal_code": "551105183",
            "country_code": "US",
            "telephone_number": "612-775-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8675 Valley Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "MN",
            "postal_code": "551252337",
            "country_code": "US",
            "telephone_number": "612-775-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 Smith Ave N Fl 3",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551022533",
            "country_code": "US",
            "telephone_number": "612-775-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 Catlin St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "MN",
            "postal_code": "553131947",
            "country_code": "US",
            "telephone_number": "612-775-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "775 Prairie Center Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "Eden Prairie",
            "state": "MN",
            "postal_code": "553447322",
            "country_code": "US",
            "telephone_number": "612-775-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11850 Blackfoot St NW Ste 405",
            "address_purpose": "LOCATION",
            "city": "Coon Rapids",
            "state": "MN",
            "postal_code": "554332773",
            "country_code": "US",
            "telephone_number": "612-775-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1880 N Frontage Rd",
            "address_purpose": "LOCATION",
            "city": "Hastings",
            "state": "MN",
            "postal_code": "550332687",
            "country_code": "US",
            "telephone_number": "612-775-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14181 Business Center Dr NW",
            "address_purpose": "LOCATION",
            "city": "Elk River",
            "state": "MN",
            "postal_code": "553304654",
            "country_code": "US",
            "telephone_number": "612-775-6222",
            "fax_number": "612-775-6222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18465 Orchard Trl",
            "address_purpose": "LOCATION",
            "city": "Lakeville",
            "state": "MN",
            "postal_code": "550448885",
            "country_code": "US",
            "telephone_number": "612-775-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2305 108th Ln NE",
            "address_purpose": "LOCATION",
            "city": "Blaine",
            "state": "MN",
            "postal_code": "554495222",
            "country_code": "US",
            "telephone_number": "612-775-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1324 5th St N",
            "address_purpose": "LOCATION",
            "city": "New Ulm",
            "state": "MN",
            "postal_code": "560731514",
            "country_code": "US",
            "telephone_number": "612-775-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALLINA HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-18",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "TALLARICO",
        "authorized_official_first_name": "DOMINICA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "612-222-2222"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.cioxhealth.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.6635.1.1",
            "affiliationName": "Ciox Health",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "925 N Point Pkwy",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300055210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.cioxhealth.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.6635.1.1",
            "affiliationName": "Ciox Health",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "925 N Point Pkwy",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300055210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Twin Cities Spine Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Twin Cities Spine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.