Individual provider Active NPI

Kyle Thomas Lantz, DDS

  • Endodontics
  • Loveland, CO
National Provider Identifier
1417443276
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
00206279 Issued in CO
Practice address
516 W Eisenhower Blvd
Loveland, CO 80537-3106
Phone
(970) 232-3750
NPI assigned
Jul 5, 2018
Last updated
Sep 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DD4933 NM
Endodontics 1223E0200X DRPM2601 FL
Endodontics 1223E0200X 00206279 CO Primary

Addresses

Primary practice location

516 W Eisenhower Blvd
Loveland, CO 80537-3106

Mailing address

3744 S Timberline Rd Ste 101
Fort Collins, CO 80525-4334
Phone (970) 229-1404

Other practice location 1

3744 S Timberline Rd
Fort Collins, CO 80525-4333
Phone (970) 229-1404

Other practice location 2

4669 W 20th Street Rd Ste B
Greeley, CO 80634-8409
Phone (970) 232-3755

Other practice location 3

630 15th Ave Ste 301
Longmont, CO 80501-2764
Phone (720) 494-9363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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

Enrollment IDStateProvider typePAC IDDetails
I20181102002238 NM Order and Referring Only - DentistPractitioner - Dentist 6305199688

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DD4933NMMDDentist
00206279COMDEndodontist
DRPM2601FLMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Colorado Endodontics PC Endodontics PastSince Sep 14, 2025 Accepting new patients
Nce Greeley PLLC Endodontics PastSince Sep 14, 2025 Accepting new patients
Northern Colorado Endodontics Endodontics Past Accepting new patients
Albuquerque Modern Dentistry, LLC Past Accepting new patients
Daniel J Barton DMD Ms Prof LLC Endodontics Past Accepting new patients

Organizations & group practices 5

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": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1417443276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3744 S TIMBERLINE RD STE 101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254334",
            "telephone_number": "970-229-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 W EISENHOWER BLVD",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805373106",
            "telephone_number": "970-232-3750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3744 S Timberline Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805254333",
            "country_code": "US",
            "telephone_number": "970-229-1404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4669 W 20th Street Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806348409",
            "country_code": "US",
            "telephone_number": "970-232-3755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "630 15th Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805012764",
            "country_code": "US",
            "telephone_number": "720-494-9363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANTZ",
        "first_name": "KYLE",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-05",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD4933",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DRPM2601",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CO",
            "license": "00206279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.