DR. TARA SKELLY PETERSON (NPI# 1700376969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700376969 |
| Entity Type | Individual |
| Full Name | DR. TARA SKELLY PETERSON |
| Credential | DDS |
| Practice Address |
9042 Cahill Ave Inver Grove Heights MN 55076-3543 |
| Mailing Address |
4663 Parkridge Dr Eagan MN 55123-2130 |
| Practice Telephone | 6514578282 |
| Mailing Telephone | 6515878844 |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2018-05-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D13973 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104474634 | Tara Mae Peterson | Student in an Organized Health Care Education/Training Program | 9182 E Mogollon Trl, Gold Canyon, AZ 85118-7090 | 2019-08-28 |
| 1144619107 | Tara Danielle Peterson | Specialist/Technologist | 896 Ashe Loop Rd, Sylva, NC 28779-8810 | 2015-01-14 |
| 1669971602 | Tara Peterson | Nurse Anesthetist, Certified Registered | 601 E Rollins St, Orlando, FL 32803-1248 | 2018-02-05 |
| 1053770867 | Tara Peterson | Marriage & Family Therapist | 1441 Constitution Blvd, Bldg 400 Ste 200, Salinas, CA 93906-3100 | 2016-02-22 |
| 1710353560 | Tara Anne Peterson | Nurse Practitioner | 13950 W Capitol Dr Ste 200, Brookfield, WI 53005-2441 | 2015-08-17 |
| 1174927867 | Tara Peterson | Behavioral Analyst | 424 Peninsula Ave, San Mateo, CA 94401-1653 | 2014-10-09 |
| 1659652956 | Tara Jo Peterson | Registered Nurse | 760 Hospital Circle, Browning, MT 59417-0730 | 2011-08-31 |
| 1336438811 | Tara Peterson | Marriage & Family Therapist | 1470 W Herndon Ave, Suite 300, Fresno, CA 93711-0552 | 2011-04-05 |
| 1588965933 | Tara Magen Peterson | Developmental Therapist | 2708 Ne 14th Street, Suite 5, Pompano Beach, FL 33062 | 2010-11-16 |
| 1235108457 | Tara L. Peterson | Nurse Practitioner | 8901 Indian Hills Dr, Suite 200, Omaha, NE 68114-4057 | 2006-03-17 |
| Street Address |
9042 CAHILL AVE |
| City | INVER GROVE HEIGHTS |
| State | MN |
| Zip Code | 55076-3543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194820498 | Brian Kraby | Dentist | 9042 Cahill Ave, Inver Grove Heights, MN 55076-3543 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023582855 | Pediatric Therapy Options, LLC | Occupational Therapist | 2865 Upper 62nd St E, Inver Grove Heights, MN 55076 | 2019-01-15 |
| 1104316942 | Connie Ann Stoltz | Health Educator | 3837 73rd St E, Inver Grove Heights, MN 55076 | 2018-05-17 |
| 1457888638 | Andrew Eccles | Physical Therapist | 5836 Blaine Ave, Inver Grove Heights, MN 55076 | 2017-05-18 |
| 1760805261 | Melissa Schmidt Heinonen | Nurse Practitioner | 5975 Carmen Ave E, Dakota Pediatrics, Inver Grove Heights, MN 55076 | 2014-02-04 |
| 1346382017 | Karen Marcus Sames | Occupational Therapist | 5695 Blaine Ave., Inver Grove Heights, MN 55076 | 2007-02-12 |
| 1386785525 | Robert Stephen Roloff | Chiropractor | 2940 65th Street East, Inver Grove Heights, MN 55076 | 2007-02-09 |
| 1013002583 | Michael Ward | Psychologist | 6775 Cahill Ave, Inver Grove Heights, MN 55076 | 2006-10-03 |
| 1083227573 | Megan Stumpf | Speech-Language Pathologist | 2925 Buckley Way, Inver Grove Heights, MN 55076 | 2020-08-25 |
| 1336638097 | Lynsey R Miron | Psychologist | 5838 Blackshire Path, Inver Grove Heights, MN 55076 | 2018-05-08 |
| 1346474509 | Kathleen Grennan Hopkins | Family Medicine | 5565 Blaine Avenue, Allina Health Inver Grove Heights Clinic, Inver Grove Heights, MN 55076 | 2009-05-04 |
| Find all providers in zip 55076 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508109810 | Vladimir Leon Salazar | Dentist | 5870 Blackshire Path, Inver Grove Heights, MN 55076-1620 | 2013-04-04 |
| 1194820498 | Brian Kraby | Dentist | 9042 Cahill Ave, Inver Grove Heights, MN 55076-3543 | 2006-09-13 |
| 1891777454 | Carrie Buerman Peroutka | Dentist | 6105 Cahill Ave E, Inver Grove Heights, MN 55076-1525 | 2005-11-18 |
| 1013999309 | Patricia B Ura | Dentist | 6105 Cahill Ave, Inver Grove Heights, MN 55076-1525 | 2005-11-14 |
| 1942282231 | Bradley Duane Swingdorf | Dentist | 6105 Cahill Avenue East, Inver Grove Heights, MN 55076-1308 | 2005-11-14 |
| 1821079583 | G2 South | Dentist | 5846 Blackshire Path, Inver Grove Heights, MN 55016 | 2005-11-09 |
| 1295343952 | Tanner Berg | Dentist | 5350 S Robert Trl, Inver Grove Heights, MN 55077-1404 | 2020-07-20 |
| 1336705136 | Anna Marie Francke | Dentist | 6105 Cahill Ave, Inver Grove Heights, MN 55076-1525 | 2019-05-16 |
| 1386166734 | Southridge Dental, Pa | Dentist | 1320 Mendota Rd, Inver Grove Heights, MN 55077-1255 | 2017-07-07 |
| 1619350006 | Katherine Rose Vaughan | Dentist | 5625 Cenex Dr, Inver Grove Heights, MN 55077-1724 | 2015-07-02 |
| Find all providers in INVER GROVE HEIGHTS | ||||
| City | INVER GROVE HEIGHTS |
| Zip Code | 55076 |
Please comment or provide details below to improve the information on DR. TARA SKELLY PETERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.