{"npi":"1700805652","type":"NPI-1","status":"active","name":{"display":"Michael Cusatis DDS","other":[],"first":"MICHAEL","last":"CUSATIS","middle":"JOSEPH","credential":"DDS"},"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":"MI","license":"D14500"}]},"addresses":[{"purpose":"LOCATION","street_1":"1507 S. OTSEGO","city":"GAYLORD","state":"MI","postal_code":"49735","country_code":"US","street_2":"SUITE B","phone":"9897324189","fax":"9897321916"},{"purpose":"MAILING","street_1":"1507 S. OTSEGO","city":"GAYLORD","state":"MI","postal_code":"49735","country_code":"US","street_2":"SUITE B","phone":"9897324189","fax":"9897321916"}],"license":{"state":"MI","number":"D14500"},"identifiers":[{"type_code":"01","label":"Other","value":"56910090","state":"MI","issuer":"BCBS ID #"},{"type_code":"05","label":"Medicaid","value":"5190276","state":"MI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20081117000556","type_code":"14-85","type_desc":"PRACTITIONER - MAXILLOFACIAL SURGERY","state":"MI","pac_id":"1456411776"}]},"enumeration_date":"2006-07-19","last_updated":"2008-11-04","_meta":{"source":"NPPES","snapshot_date":"2008-11-04","doc_url":"https://findmynpi.com/api"}}