{"npi":"1104853001","type":"NPI-1","status":"active","name":{"display":"Dr. Matija Burtis DO","other":[],"first":"MATIJA","last":"BURTIS","middle":"M","credential":"DO"},"specialty":{"primary_taxonomy":"2083B0002X","primary_taxonomy_description":"Obesity Medicine (Preventive Medicine) Physician","slug":"obesity-medicine-preventive-medicine-physician","schema_org_specialty":null,"all":[{"code":"207Q00000X","description":"Family Medicine","primary":false,"state":"ME","license":"1685"},{"code":"2083B0002X","description":"Obesity Medicine (Preventive Medicine) Physician","primary":true,"state":"ME","license":"DO1685"}]},"addresses":[{"purpose":"LOCATION","street_1":"12 ANDOVER RD","city":"PORTLAND","state":"ME","postal_code":"04102","country_code":"US","phone":"2076616064","fax":"2072536073"},{"purpose":"MAILING","street_1":"190 RIVERSIDE STREET","city":"PORTLAND","state":"ME","postal_code":"04103","country_code":"US","street_2":"SUITE 6B","phone":"2076612095","fax":"2076612033"}],"license":{"state":"ME","number":"DO1685"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"312400099","state":"ME","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20050908000733","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"ME","pac_id":"3971535154"}]},"enumeration_date":"2006-06-27","last_updated":"2019-10-24","_meta":{"source":"NPPES","snapshot_date":"2019-10-24","doc_url":"https://findmynpi.com/api"}}