Kyle James Anderson

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN.00206332 Issued in CO

Practice address

5430 Tutt Blvd
Colorado Springs, CO 80922-2515

Phone

(719) 380-0141

NPI assigned

May 28, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• North Powers Modern Dentistry, LLP

  • General Practice Dentistry
  • Colorado Springs, CO
  • NPI 1861774184
  NPD (past)

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1083407290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16109 PENN CENTRAL WAY",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801326120",
            "telephone_number": "719-646-9665"
        },
        {
            "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": "719-380-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KYLE",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00206332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karina Elizabeth Anderson, CSWC
• Kaytie Anderson
• Kelsey Anderson
• Kimberly Anderson
• Kimberly Anderson
• Lexis Ann Anderson
• Linda Kaye Anderson, RN, MN, NP-C
• Lindsay Anderson
• Mackenzie O'Hara Anderson, NP
• Marie Anderson

• General Practice Dentistry in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.