NPIMap

Organization Active NPI

Charles Engles MD PLLC

  • Specialist
  • Oklahoma City, OK
National Provider Identifier
1669482733
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
12945 Issued in OK
Legal business name
CHARLES ENGLES MD PLLC
Practice address
4120 W Memorial Rd
Ste 208
Oklahoma City, OK 73120-9322
Phone
(405) 755-3540
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Dr. Charles Engles, MD
Title
Owner
Phone
(405) 755-3540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 12945 OK Primary

Addresses

Primary practice location

4120 W Memorial Rd
Ste 208
Oklahoma City, OK 73120-9322

Mailing address

PO Box 268946
Oklahoma City, OK 73126-8946
Phone (405) 329-3419

Other identifiers 1

IdentifierTypeStateIssuer
100123940AMedicaidOK

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1669482733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268946",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731268946",
            "telephone_number": "405-329-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 W MEMORIAL RD",
            "address_2": "STE 208",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731209322",
            "telephone_number": "405-755-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES ENGLES MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "ENGLES",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-755-3540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OK",
            "license": "12945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100123940A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.