Individual provider Active NPI

Michael P Lund

  • General Practice Dentistry
  • Colorado Springs, CO
National Provider Identifier
1063882702
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
205694 Issued in CO
Practice address
5430 Tutt Blvd
Colorado Springs, CO 80922-2515
Phone
(789) 380-0141
NPI assigned
Oct 6, 2015
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 205694 CO Primary

Addresses

Primary practice location

5430 Tutt Blvd
Colorado Springs, CO 80922-2515

Mailing address

10900 Research Blvd Ste 140C
Austin, TX 78759-5774
Phone (512) 645-0818

Other practice location 1

10900 Research Blvd Ste 140C
Austin, TX 78759-5774
Phone (512) 645-0818

Other names 1

  • Dr. Michael P Lund Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161025002132 NV Order and Referring Only - DentistPractitioner - Dentist 7810275963
I20231021000431 CO Order and Referring Only - DentistPractitioner - Dentist 7810275963

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
205694COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Cycle Center LLC General Practice CurrentSince Feb 26, 2023 Accepting new patients

Locations

10900 Research Blvd
Ste 140C
Austin, TX 78759
Phone (512) 417-2001

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1063882702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 RESEARCH BLVD STE 140C",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595774",
            "telephone_number": "512-645-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5430 TUTT BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809222515",
            "telephone_number": "789-380-0141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10900 Research Blvd Ste 140C",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787595774",
            "country_code": "US",
            "telephone_number": "512-645-0818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUND",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-06",
        "last_updated": "2025-09-11",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "205694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "LUND",
            "middle_name": "P",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.