Active NPI
Jennifer Engelhardt, DMD
- Dentist
- Lake Worth, FL
National Provider Identifier
1053971465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN24325
- Practice address
- 6626 Hypoluxo Rd
Lake Worth, FL 33467-7676 - Phone
- (561) 433-9600
- NPI assigned
- Jun 18, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN24325 | FL | Primary |
Addresses
Primary practice location
6626 Hypoluxo Rd
Lake Worth, FL 33467-7676
Mailing address
6626 Hypoluxo Rd
Lake Worth, FL 33467-7676
Phone (561) 433-9600
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN24325 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keweenaw Bay Indian Community | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Baraga, MI
- NPI 1336232289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644192000000",
"number": "1053971465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6626 HYPOLUXO RD",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334677676",
"telephone_number": "561-433-9600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6626 HYPOLUXO RD",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334677676",
"telephone_number": "561-433-9600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGELHARDT",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-18",
"last_updated": "2022-02-07",
"certification_date": "2022-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN24325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Worth, FL
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- Encompass Health Rehabilitation Hospital of Lake Worth, LLC
- Endocrinology and Diabetes Consultants
- Enesis Rehab Services
- Jennifer A English, RPT
- Rocio Enriquez Rodriguez III
- Eric J Cohen DC PA
- Erin Lawson PSYD
- Joseph F. Erler, COTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.