1. Home
  2. Directory
  3. Minnesota
  4. Burnsville
  5. Dentist
  6. NPI Profile

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

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: July 19, 2026.

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
Open in Google Maps ↗

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

What is Tyler Peterson's NPI number?

The NPI number assigned to this healthcare provider is 1306074836, enumerated as an "individual" on June 23, 2009.

Where is the provider located?

The provider is located at 625 E. NICOLLET BLVD. SUITE 340 BURNSVILLE, MN 55337 and the phone number is (952) 435-0370.

What is the provider's specialty?

Dentist with taxonomy code 1223E0200X and a focus in Endodontics.

What insurance does Tyler Peterson accept?

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.