OrganizationActive
Allina Health System
NPI 1699014167 · Family Medicine Physician · Edina, MN
Provider details
- NPI number
- 1699014167
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dominica Tallarico, Coo(612) 222-2222
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
- Urgent Care Clinic/Center261QU0200X
Ambulatory Health Care Facilities
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7373 France Ave S Ste 202
Edina, MN 55435-4551
Phone: (952) 835-1311
Street-level locationGet directions
Mailing address
Po Box 43
Minneapolis, MN 55440-0043
Other names (DBA / former)
- Doing business as
- Allina Health Centennial Lakes Clinic
- Doing business as
- Allina Health Centennial Lakes Clinic
Registry dates
- Enumerated
- 2013-02-04
- Last updated
- 2025-02-25
- Certified
- 2025-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.