Active NPI
Dale Roberts, HAD
- Hearing Instrument Specialist
- Albuquerque, NM
National Provider Identifier
1316233315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- Practice address
- 10000 Coors Byp NW
Albuquerque, NM 87114-4040 - Phone
- (505) 889-9100
- Fax
- (503) 659-5968
- NPI assigned
- Jun 28, 2011
- Last updated
- Jan 15, 2018
- 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 |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | NM | ||
| Hearing Instrument Specialist | 237700000X | NM | Primary |
Addresses
Primary practice location
10000 Coors Byp NW
Albuquerque, NM 87114-4040
Mailing address
8800 SE Sunnyside Rd
Clackamas, OR 97015-5738
Phone (281) 286-2999
Other practice location 1
3301 Menaul Blvd NE
Albuquerque, NM 87107-1852
Phone (505) 889-9100
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515974400000",
"number": "1316233315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8800 SE SUNNYSIDE RD",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970155738",
"telephone_number": "281-286-2999",
"fax_number": "512-607-4893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 COORS BYP NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871144040",
"telephone_number": "505-889-9100",
"fax_number": "503-659-5968"
}
],
"practiceLocations": [
{
"address_1": "3301 Menaul Blvd NE",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871071852",
"country_code": "US",
"telephone_number": "505-889-9100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBERTS",
"first_name": "DALE",
"name_prefix": "Mr.",
"credential": "HAD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-28",
"last_updated": "2018-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NM",
"license": null,
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "NM",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.