{"npi":"1396789350","type":"NPI-1","status":"active","name":{"display":"Dr. Shawn Engebretsen","other":[],"first":"SHAWN","last":"ENGEBRETSEN","middle":"TORLIEF"},"specialty":{"primary_taxonomy":"1223S0112X","primary_taxonomy_description":"Oral and Maxillofacial Surgery (Dentist)","slug":"oral-and-maxillofacial-surgery-dentist","schema_org_specialty":null,"all":[{"code":"1223S0112X","description":"Oral and Maxillofacial Surgery (Dentist)","primary":true,"state":"FL","license":"DN0009427"}]},"addresses":[{"purpose":"LOCATION","street_1":"841 E OCEAN BLVD","city":"STUART","state":"FL","postal_code":"349942427","country_code":"US","phone":"7722230600","fax":"7722230617"},{"purpose":"MAILING","street_1":"1825 NW BRIGHT RIVER PT","city":"STUART","state":"FL","postal_code":"349949407","country_code":"US","phone":"7722230600","fax":"7722230617"}],"license":{"state":"FL","number":"DN0009427"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"072275800","state":"FL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20070821000252","type_code":"14-85","type_desc":"PRACTITIONER - MAXILLOFACIAL SURGERY","state":"FL","pac_id":"5092807180"}]},"enumeration_date":"2006-06-16","last_updated":"2010-04-20","_meta":{"source":"NPPES","snapshot_date":"2010-04-20","doc_url":"https://findmynpi.com/api"}}