Organization Active NPI

Twin Cities Neurosurgery,PLLC

  • Neurological Surgery Physician
  • Golden Valley, MN
National Provider Identifier
1780625491
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
1682 Issued in MN
Legal business name
TWIN CITIES NEUROSURGERY,PLLC
Practice address
4440 Tyrol CRST
Golden Valley, MN 55416-3554
Phone
(763) 427-8547
Fax
(763) 576-5394
NPI assigned
Jun 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Daniel Berton Ahlberg, MD
Title
President
Phone
(763) 427-8547

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X 1682 MN Primary

Addresses

Primary practice location

4440 Tyrol CRST
Golden Valley, MN 55416-3554

Mailing address

4440 Tyrol CRST
Golden Valley, MN 55416-3554
Phone (763) 427-8547

National Provider Directory

National Provider Directory

Locations

3960 Coon Rapids Blvd NW
Ste 216
Coon Rapids, MN 55433
Phone (763) 427-8547

500 Osborne Rd NE
Ste 115
Fridley, MN 55432
Phone (763) 236-2116

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780625491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 TYROL CRST",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554163554",
            "telephone_number": "763-427-8547",
            "fax_number": "763-576-5394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 TYROL CRST",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554163554",
            "telephone_number": "763-427-8547",
            "fax_number": "763-576-5394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN CITIES NEUROSURGERY,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AHLBERG",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "BERTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-427-8547",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "MN",
            "license": "1682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.