Organization Active NPI

Michael L. Engelbrecht, PC

  • General Practice Dentistry
  • Tulsa, OK
National Provider Identifier
1447472824
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5222 Issued in OK
Legal business name
MICHAEL L. ENGELBRECHT, PC
Practice address
6565 South Yale Avenue
Suite 1104
Tulsa, OK 74136
Phone
(918) 492-9420
Fax
(918) 492-4768
NPI assigned
May 3, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Joanne Elaine Benson
Title
Office Adminstrator
Phone
(918) 492-9420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5222 OK Primary

Addresses

Primary practice location

6565 South Yale Avenue
Suite 1104
Tulsa, OK 74136

Mailing address

6565 South Yale Avenue
Suite 1104
Tulsa, OK 74136
Phone (918) 492-9420

National Provider Directory

National Provider Directory

Locations

6565 S Yale Ave
Ste 1104
Tulsa, OK 74136
Phone (918) 492-9420

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447472824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 SOUTH YALE AVENUE",
            "address_2": "SUITE 1104",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74136",
            "telephone_number": "918-492-9420",
            "fax_number": "918-492-4768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 SOUTH YALE AVENUE",
            "address_2": "SUITE 1104",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74136",
            "telephone_number": "918-492-9420",
            "fax_number": "918-492-4768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL L. ENGELBRECHT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OFFICE ADMINSTRATOR",
        "authorized_official_telephone_number": "918-492-9420",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.