Individual provider Active NPI

Kyle Cyrus Mason, D.D.S.

  • General Practice Dentistry
  • Burlington, CO
National Provider Identifier
1073806550
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN201900 Issued in CO
Practice address
2180 Rose Ave
Burlington, CO 80807-1446
Phone
(719) 346-5466
Fax
(719) 505-7236
NPI assigned
May 17, 2011
Last updated
May 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 08837 IA
General Practice Dentistry 1223G0001X DEN201900 CO Primary

Addresses

Primary practice location

2180 Rose Ave
Burlington, CO 80807-1446

Mailing address

2180 Rose Ave
Burlington, CO 80807-1446
Phone (719) 346-5466

Other practice location 1

1440 Lowell Ave
Burlington, CO 80807-1633
Phone (719) 346-7746

Other practice location 2

1009 Main Ave
Goodland, KS 67735-2942
Phone (785) 890-2562

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DEN201900COMDGeneral Practice Dentistry
08837IAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
K & H Mason PC CurrentSince Jun 1, 2023 Accepting new patients
K & H Mason PC CurrentSince May 11, 2025 Accepting new patients
K&H Mason PC PastSince Jun 15, 2025 Accepting new patients
Preventive Family Dental PC PastSince Jun 1, 2023 Accepting new patients
Bac Dental PLLC PastSince Oct 1, 2023 Accepting new patients
K & H Mason PC PastSince Dec 9, 2019 Accepting new patients

Locations

1440 Lowell Ave
Burlington, CO 80807
Phone (719) 346-7746

2180 Rose Ave
Burlington, CO 80807
Phone (719) 346-5466

Organizations & group practices 6

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": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1073806550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 ROSE AVE",
            "city": "BURLINGTON",
            "state": "CO",
            "postal_code": "808071446",
            "telephone_number": "719-346-5466",
            "fax_number": "719-505-7236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 ROSE AVE",
            "city": "BURLINGTON",
            "state": "CO",
            "postal_code": "808071446",
            "telephone_number": "719-346-5466",
            "fax_number": "719-505-7236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1440 Lowell Ave",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "CO",
            "postal_code": "808071633",
            "country_code": "US",
            "telephone_number": "719-346-7746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1009 Main Ave",
            "address_purpose": "LOCATION",
            "city": "Goodland",
            "state": "KS",
            "postal_code": "677352942",
            "country_code": "US",
            "telephone_number": "785-890-2562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASON",
        "first_name": "KYLE",
        "middle_name": "CYRUS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-17",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08837",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN201900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.