Travis James Antholz, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6477 Issued in NE

Practice address

3445 O St
Lincoln, NE 68510-1541

Phone

(402) 474-3445

Fax

(402) 474-6061

NPI assigned

May 11, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NE

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 1

Medicare enrollment (NPD)

Enrolled

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.

• Anderson-Martin-Lacey-Antholz Dentists, PC

  • General Practice Dentistry
  • Lincoln, NE
  • NPI 1093722118

  General Practice

  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1124078845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 O ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685101541",
            "telephone_number": "402-474-3445",
            "fax_number": "402-474-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 O ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685101541",
            "telephone_number": "402-474-3445",
            "fax_number": "402-474-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTHOLZ",
        "first_name": "TRAVIS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "6477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "04761",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1642002",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anointed Path Counseling LLC
• Luke Fletcher Anschutz, M.D.
• Tammy Marie Anstine
• Antelope Creek Family Dentistry PC
• Kelly Dawn Antholz O'Hara
• Karen Ann Anthony
• Antlers Inc
• Kellie O Antoine
• Kara Jen Antoniak, APRN
• Matthew Antonowicz

• All providers in Lincoln, NE
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.