MR. TYLER SCOTT ANDERSON D.D.S.
NPI 1376922138
Dentist - Prosthodontics in Denver, CO

Q: What is Tyler Anderson's NPI number?

The NPI number for Tyler Anderson is 1376922138. It was assigned to this individual provider in the NPPES registry on May 27, 2015.

Q: What is Tyler Anderson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Anderson was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 27, 2015PECOS Enrolled

777 BANNOCK ST, DENVER, CO 80204(303) 602-8200(303) 602-4560 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 3, 2025, Apr 1, 2025 (2 updates tracked since 2025).

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About Mr. Tyler Scott Anderson D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TYLER SCOTT ANDERSON D.D.S. (NPI 1376922138) is an individual prosthodontics provider in Denver, Colorado, licensed in Colorado (DEN.00204959) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Toledo.

NPPES Registry Identity

NPI1376922138

Entity TypeIndividualMale

Primary Taxonomy1223P0700X

Provider Legal NameMR. TYLER SCOTT ANDERSONCredential: D.D.S.

Location Address777 BANNOCK STDenver, CO 80204-4597

Mailing Address777 Bannock StDenver, CO 80204-4597 · (303) 602-8200 · Fax (303) 602-4560

Phone(303) 602-8200

Fax(303) 602-4560

Sole ProprietorNo

Enumeration DateMay 27, 2015

Last NPPES UpdateJune 3, 20252 updates tracked since enumeration

NPPES CertifiedJune 3, 2025

✔ NPI 1376922138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · ProsthodonticsDental Providers

Taxonomy Code1223P0700X

License✔ Licensed in CO · DEN.00204959

Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

Also ListedDentistTaxonomy 122300000X · License RES3606 (OH), DEN.00204959 (CO)

777 BANNOCK ST, Denver, CO 80204

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Secondary Practice Location 1

Location 13000 Arlington Ave, Mail Stop 1092Toledo, OH 43614-2595 · Phone (419) 383-3504

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Renaissance Dental.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Tyler Scott Anderson D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tyler Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Denver Health And Hospital Authority

Same address

General Practice

777 BANNOCK ST
Denver, CO 80204

Reassigned Medicare billing, Colorado enrollment
2,259 clinicians in this Medicare group

NPI 1477569838 (303) 436-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KATHERINE JEANNE CARLEY RN, MSN, CS

Clinical Nurse Specialist (Psychiatric/Mental Health)