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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MARTIN A TAHARA DMD, MD
NPI 1053381061
Dentist - Oral and Maxillofacial Surgery in Stillwater, MN

Active since January 23, 2006PECOS Enrolled
1701 CURVE CREST BLVD W, SUITE 108, STILLWATER, MN 55082(651) 439-8030(651) 351-0821 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Martin A Tahara Dmd, Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARTIN A TAHARA DMD, MD (NPI 1053381061) is an individual oral and maxillofacial surgery provider in Stillwater, Minnesota, licensed in Minnesota (D11409) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053381061
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameMARTIN A TAHARACredential: DMD, MD
Location Address1701 CURVE CREST BLVD W, SUITE 108Stillwater, MN 55082-6044
Mailing Address1701 Curve Crest Blvd W, Suite 108Stillwater, MN 55082-6044 · (651) 439-8030 · Fax (651) 351-0821
Phone(651) 439-8030
Fax(651) 351-0821
Sole ProprietorNo
Enumeration DateJanuary 23, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1053381061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in MN · D11409✔ Licensed in WI · 5219-015
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1701 CURVE CREST BLVD W, Stillwater, MN 55082
Open in Google Maps ↗

Other Identifiers 1

Medicaid33761200WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Martin A Tahara Dmd, Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55082 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEVEN D JOHNSON DDS
Dentist (Oral and Maxillofacial Surgery)
1701 CURVE CREST BLVD W, SUITE 108
STILLWATER, MN 55082
Washington County (651) 439-8030
WANDA J LICKTEIG OTR/L, CHT
Occupational Therapist (Hand)
1701 CURVE CREST BLVD W, SUITE 104
STILLWATER, MN 55082
Washington County (651) 439-8807
NICOLE ANNE SARAUER CNS
Clinical Nurse Specialist (Gerontology)
1701 CURVE CREST BLVD W, SUITE 104
STILLWATER, MN 55082
Washington County (651) 351-2680
ST CROIX ORAL, MAXILLOFACIAL & IMPLANT SURGERY, P.A.
Dentist (Oral and Maxillofacial Surgery)
1701 CURVE CREST BLVD W, SUITE 108
STILLWATER, MN 55082
Washington County (651) 439-8030
MADISON WARNER
Behavior Technician
1701 CURVE CREST BLVD W
STILLWATER, MN 55082
Washington County (651) 342-1883
CARISSA KNUTSON D.D.S
Dentist (General Practice)
1701 CURVE CREST BLVD W
STILLWATER, MN 55082
Washington County (651) 439-8840
ISABELLE DRINKWINE
Behavior Technician
1701 CURVE CREST BLVD W
STILLWATER, MN 55082
Washington County (651) 342-1883
ST. CROIX ORTHOPAEDICS, P.A.
Durable Medical Equipment & Medical Supplies
1701 CURVE CREST BLVD W, STE. 104
STILLWATER, MN 55082
Washington County (651) 439-8807

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Martin Tahara's NPI number?

The NPI number for Martin Tahara is 1053381061. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Where is Martin Tahara located?

Martin Tahara practices at 1701 Curve Crest Blvd W Suite 108, Stillwater, MN 55082. The listed phone number is (651) 439-8030.

What is Martin Tahara's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Martin Tahara enrolled in Medicare?

Yes. Martin Tahara is registered in the Medicare PECOS enrollment system.

What insurance does Martin Tahara accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Martin Tahara as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Martin Tahara was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.