Active NPI
Tyler Boss
- Endodontics
- Colorado Springs, CO
National Provider Identifier
1811251598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DEN.00201932
- Practice address
- 1275 Lake Plaza Dr Ste 200
Colorado Springs, CO 80906-3515 - Phone
- (719) 301-1119
- NPI assigned
- Jun 27, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 8322701-9922 | UT | |
| Endodontics | 1223E0200X | DEN.00201932 | CO | Primary |
Addresses
Primary practice location
1275 Lake Plaza Dr Ste 200
Colorado Springs, CO 80906-3515
Mailing address
1275 Lake Plaza Dr Ste 200
Colorado Springs, CO 80906-3515
Phone (719) 301-1119
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
| License | State | Type | Specialty |
|---|---|---|---|
| DEN.00201932 | CO | MD | Endodontist |
| 8322701-9922 | UT | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soco Endo | Endodontics | Current | Accepting new patients |
Locations
1275 Lake Plaza Dr
Ste 200
Colorado Springs, CO 80906
Phone (719) 301-1119
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 and National Provider Directory roles.
-
- Endodontics
- Colorado Springs, CO
- NPI 1558806679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751500800000",
"number": "1811251598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1275 LAKE PLAZA DR STE 200",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809063515",
"telephone_number": "719-301-1119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 LAKE PLAZA DR STE 200",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809063515",
"telephone_number": "719-301-1119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSS",
"first_name": "TYLER",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-27",
"last_updated": "2025-07-03",
"certification_date": "2025-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "UT",
"license": "8322701-9922",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CO",
"license": "DEN.00201932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.