DR. TYLER BLAINE PETERSON D.D.S.
NPI 1306074836
Dentist - Endodontics in Burnsville, MN

Q: What is Tyler Peterson's NPI number?

The NPI number for Tyler Peterson is 1306074836. It was assigned to this individual provider in the NPPES registry on June 23, 2009.

Q: What is Tyler Peterson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Peterson was last updated on June 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.

Active since June 23, 2009PECOS Enrolled

625 E. NICOLLET BLVD., SUITE 340, BURNSVILLE, MN 55337(952) 435-0370(952) 435-0377 Get Directions Write a Review

NPPES record last updated: June 18, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Tyler Blaine Peterson D.d.s. NPPES

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

DR. TYLER BLAINE PETERSON D.D.S. (NPI 1306074836) is an individual endodontics provider in Burnsville, Minnesota, licensed in Minnesota (D12671) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306074836

Entity TypeIndividualMale

Primary Taxonomy1223E0200X

Provider Legal NameDR. TYLER BLAINE PETERSONCredential: D.D.S.

Location Address625 E. NICOLLET BLVD., SUITE 340Burnsville, MN 55337

Mailing Address625 E. Nicollet Blvd., Suite 340Burnsville, MN 55337 · (952) 435-0370 · Fax (952) 435-0377

Phone(952) 435-0370

Fax(952) 435-0377

Sole ProprietorNo

Enumeration DateJune 23, 2009

Last NPPES UpdateJune 18, 2019

✔ NPI 1306074836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers

Taxonomy Code1223E0200X

License✔ Licensed in MN · D12671

Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

625 E. NICOLLET BLVD., Burnsville, MN 55337

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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)

Dr. Tyler Blaine Peterson D.d.s. 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 55337 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

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

DR. RHETT C FINLEY D.D.S.

Dentist (Endodontics)

625 E. NICOLLET BLVD., SUITE 340
BURNSVILLE, MN 55337

Dakota County (952) 435-0370

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 Tyler Peterson's NPI number?

The NPI number for Tyler Peterson is 1306074836. It was assigned to this individual provider in the NPPES registry on June 23, 2009.

Where is Tyler Peterson located?

Tyler Peterson practices at 625 E. Nicollet Blvd. Suite 340, Burnsville, MN 55337. The listed phone number is (952) 435-0370.

What is Tyler Peterson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Tyler Peterson enrolled in Medicare?

Yes. Tyler Peterson is registered in the Medicare PECOS enrollment system.

What insurance does Tyler Peterson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Tyler Peterson 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 Tyler Peterson was last updated on June 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.