Shawn Torlief Engebretsen

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN0009427 Issued in FL

Practice address

841 E Ocean Blvd
Stuart, FL 34994-2427

Phone

(772) 223-0600

Fax

(772) 223-0617

NPI assigned

Jun 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Maxillofacial Surgery

Education

University of North Carolina School of Dentistry, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Shawn T Engebretsen DMD P a

  • Oral and Maxillofacial Surgery (Dentist)
  • Stuart, FL
  • NPI 1225200173
  Medicare reassignment NPD Authorized official
• Treasure Coast Oral & Maxillofacial Surg & Dental Implant Surg Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Port St Lucie, FL
  • NPI 1417618463
  NPD (past)
• William E. Lippsich, D.M.D., P.a.

  • Oral and Maxillofacial Surgery (Dentist)
  • Stuart, FL
  • NPI 1194095596
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271721600000",
    "number": "1396789350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 NW BRIGHT RIVER PT",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349949407",
            "telephone_number": "772-223-0600",
            "fax_number": "772-223-0617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 E OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942427",
            "telephone_number": "772-223-0600",
            "fax_number": "772-223-0617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGEBRETSEN",
        "first_name": "SHAWN",
        "middle_name": "TORLIEF",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2010-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN0009427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "072275800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eloiza Emerson
• Employee Wellness, P.a.
• Empowerme Rehabilitation Florida, LLC
• Encompass Health Rehabilitation Hospital of Martin County, LLC
• Nkemakonam Michelle Enenmoh
• Louise O. England, MA
• Naomi England, APRN
• Callie Mae Engler
• Elise Victoria Engstrom
• Amanda L Engwer

• Oral and Maxillofacial Surgery (Dentist) in Stuart, FL
• Providers in Stuart, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.