Individual provider Active NPI

Tanya Schulz, DDS

  • Dentist
  • Prior Lake, MN
National Provider Identifier
1427036714
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11137 Issued in MN
Practice address
14934 Lori Rd SE
Prior Lake, MN 55372-2126
Phone
(612) 968-0918
NPI assigned
Jan 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11137 MN Primary

Addresses

Primary practice location

14934 Lori Rd SE
Prior Lake, MN 55372-2126

Mailing address

14934 Lori Rd SE
Prior Lake, MN 55372-2126
Phone (612) 968-0918

Other identifiers 1

IdentifierTypeStateIssuer
28012SCOtherMNBCBS

Other names 1

  • Dr. Tanya Peterson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11137MNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Heart of the City Dental Dentist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1427036714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14934 LORI RD SE",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553722126",
            "telephone_number": "612-968-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14934 LORI RD SE",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553722126",
            "telephone_number": "612-968-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULZ",
        "first_name": "TANYA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-06",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "11137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "28012SC",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANYA",
            "last_name": "PETERSON",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Prior Lake, MN

Sources for this page

Verify at the official NPI Registry.