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DR. TARA SKELLY PETERSON DDS
NPI 1700376969
Dentist in Inver Grove Heights, MN

Active since May 14, 2018PECOS Enrolled
9042 CAHILL AVE, INVER GROVE HEIGHTS, MN 55076(651) 457-8282 Get Directions Write a Review

NPPES record last updated: May 14, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Tara Skelly Peterson Dds NPPES

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

DR. TARA SKELLY PETERSON DDS (NPI 1700376969) is an individual dentist in Inver Grove Heights, Minnesota, licensed in Minnesota (D13973) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700376969
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. TARA SKELLY PETERSONCredential: DDS
Location Address9042 CAHILL AVEInver Grove Heights, MN 55076-3543
Mailing Address4663 Parkridge DrEagan, MN 55123-2130 · (651) 587-8844
Phone(651) 457-8282
Sole ProprietorNo
Enumeration DateMay 14, 2018
✔ NPI 1700376969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MN · D13973
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
9042 CAHILL AVE, Inver Grove Heights, MN 55076
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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. Tara Skelly Peterson Dds 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 55076 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 4

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

BRIAN KRABY DDS
Dentist
9042 CAHILL AVE
INVER GROVE HEIGHTS, MN 55076
Dakota County (651) 457-8282
NORTHLAND DENTAL PARTNERS, PLLC
Dentist (General Practice)
9042 CAHILL AVE
INVER GROVE HEIGHTS, MN 55076
Dakota County (651) 457-8282
MARIAM KHELLA DDS
Dentist
9042 CAHILL AVE
INVER GROVE HEIGHTS, MN 55076
Dakota County (651) 457-8282
DR. SCOTT ROBERT GRAHAM DDS
Dentist
9042 CAHILL AVE
INVER GROVE HEIGHTS, MN 55076
Dakota County (651) 457-8282

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 Tara Peterson's NPI number?

The NPI number for Tara Peterson is 1700376969. It was assigned to this individual provider in the NPPES registry on May 14, 2018.

Where is Tara Peterson located?

Tara Peterson practices at 9042 Cahill Ave, Inver Grove Heights, MN 55076. The listed phone number is (651) 457-8282.

What is Tara Peterson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Tara Peterson enrolled in Medicare?

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

What insurance does Tara 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 Tara 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 Tara Peterson was last updated on May 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.