1. Home
  2. Directory
  3. Colorado
  4. Trinidad
  5. Dentist
  6. NPI Profile

KYLE LUIS LARSEN DDS
NPI 1386166304
Dentist - General Practice in Trinidad, CO

Active since July 11, 2017PECOS Enrolled
928 SMITH AVE, TRINIDAD, CO 81082(719) 422-8810 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 28, 2020, Jun 24, 2020, Jan 26, 2020 and 1 more (4 updates tracked since 2017).

About Kyle Luis Larsen Dds NPPES

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

KYLE LUIS LARSEN DDS (NPI 1386166304) is an individual general practice provider in Trinidad, Colorado, licensed in Colorado (DEN.00203245) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386166304
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKYLE LUIS LARSENCredential: DDS
Location Address928 SMITH AVETrinidad, CO 81082-2841
Mailing Address928 Smith AveTrinidad, CO 81082-2841 · (719) 422-8810
Phone(719) 422-8810
Sole ProprietorNo
Enumeration DateJuly 11, 2017
Last NPPES UpdateOctober 28, 20204 updates tracked since enumeration
NPPES CertifiedOctober 28, 2020
✔ NPI 1386166304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CO · DEN.00203245
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
928 SMITH AVE, Trinidad, CO 81082
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyle Luis Larsen Dds 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 Kyle Larsen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Salud Family Health
Same address
Federally Qualified Health Center (FQHC)
928 SMITH AVE
Trinidad, CO 81082
  • Reassigned Medicare billing, Colorado enrollment
  • 67 clinicians in this Medicare group
NPI 1497393003 (303) 697-2583

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 81082 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

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

SALUD FAMILY HEALTH
Clinic/Center (Federally Qualified Health Center (FQHC))
928 SMITH AVE
TRINIDAD, CO 81082
Las Animas County (303) 697-2583

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyle Larsen's NPI number?

The NPI number for Kyle Larsen is 1386166304. It was assigned to this individual provider in the NPPES registry on July 11, 2017.

Where is Kyle Larsen located?

Kyle Larsen practices at 928 Smith Ave, Trinidad, CO 81082. The listed phone number is (719) 422-8810.

What is Kyle Larsen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Kyle Larsen enrolled in Medicare?

Yes. Kyle Larsen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kyle Larsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Larsen reassigns Medicare benefits to Salud Family Health (Trinidad, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kyle Larsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kyle Larsen was last updated on October 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.