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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Tara Vonne Brodersen, DDS

General Practice Dentistry in Saint Paul, MN · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1336138882

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Registry record

Entity type Individual (Type 1)
Name Dr. Tara Vonne Brodersen
Credential DDS
Sex Female
Practice address Saint Paul, MN, 55101
Fax (651) 602-6885
Enumeration date Oct 18, 2005
Last updated in NPPES Mar 8, 2019

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

1223G0001X General Practice Dentistry Dental Providers · License D11913 (MN) Primary
DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential

Other identifiers

Identifier Type State Issuer
H400538336 Other MN MEDICARE UPIN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Tara Brodersen?
The National Provider Identifier (NPI) for Tara Brodersen is 1336138882, a Type 1 (individual) record in the CMS NPPES registry.
Where does Tara Brodersen practice?
The practice location on file with NPPES is in Saint Paul, MN. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-03-08.