Individual provider Active NPI

Dale Lee Roberts, DDS

  • General Practice Dentistry
  • Broomfield, CO
National Provider Identifier
1720200892
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6396 Issued in CO
Practice address
570 Zang St Ste B
Broomfield, CO 80021-8227
Phone
(303) 381-0747
Fax
(303) 381-1199
NPI assigned
May 2, 2007
Last updated
Aug 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6396 CO Primary

Addresses

Primary practice location

570 Zang St Ste B
Broomfield, CO 80021-8227

Mailing address

570 Zang St Ste B
Broomfield, CO 80021-8227
Phone (303) 381-0747

Other names 1

  • Dr. Dale Lee Roberts Professional name

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

LicenseStateTypeSpecialty
6396COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Dental Professionals, LLC General Practice CurrentSince Aug 25, 2025 Accepting new patients
Powder River Dental Associates, LLC General Practice Past Accepting new patients

Locations

570 Zang St
Ste B
Broomfield, CO 80021
Phone (303) 381-0747

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1720200892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 ZANG ST STE B",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800218227",
            "telephone_number": "303-381-0747",
            "fax_number": "303-381-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 ZANG ST STE B",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800218227",
            "telephone_number": "303-381-0747",
            "fax_number": "303-381-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "DALE",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "6396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DALE",
            "last_name": "ROBERTS",
            "middle_name": "LEE",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.

Verify at the official NPI Registry.