Active NPI
Dale Wesley Roberts, DDS
- General Practice Dentistry
- Enfield, CT
National Provider Identifier
1699813154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4960
- Practice address
- 71 Hazard Ave
Enfield, CT 06082-3813 - Phone
- (860) 749-2225
- NPI assigned
- Feb 4, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4960 | CT | Primary |
Addresses
Primary practice location
71 Hazard Ave
Enfield, CT 06082-3813
Mailing address
250 Halladay Ave W
Suffield, CT 06078-1106
Phone (860) 668-4545
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12 | Other | CT | 4960 |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Patel's Enfield Family Dental | General Practice | Past | Accepting new patients |
| Rashmi C. Patel, DDS, Enfield, LLC | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Enfield, CT
- NPI 1629087382
-
dba Enfield Family Dental
- General Practice Dentistry
- Enfield, CT
- NPI 1881870590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1699813154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 HALLADAY AVE W",
"city": "SUFFIELD",
"state": "CT",
"postal_code": "060781106",
"telephone_number": "860-668-4545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 HAZARD AVE",
"city": "ENFIELD",
"state": "CT",
"postal_code": "060823813",
"telephone_number": "860-749-2225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "DALE",
"middle_name": "WESLEY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-04",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "4960",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "4960",
"identifier": "12",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Enfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.