{"npi":"1902048754","type":"NPI-1","status":"active","name":{"display":"Dr. Michael Misencik DDS","other":[],"first":"MICHAEL","last":"MISENCIK","middle":"J","credential":"DDS"},"specialty":{"primary_taxonomy":"122300000X","primary_taxonomy_description":"Dentist","slug":"dentist","schema_org_specialty":null,"all":[{"code":"122300000X","description":"Dentist","primary":true,"state":"OH","license":"018257"}]},"addresses":[{"purpose":"LOCATION","street_1":"109 HARRIS ROAD","city":"LODI","state":"OH","postal_code":"44254","country_code":"US","phone":"3303024005"},{"purpose":"MAILING","street_1":"1205 CANYON VIEW RD","city":"SAGAMORE HILLS","state":"OH","postal_code":"44067","country_code":"US","phone":"2166886349"}],"license":{"state":"OH","number":"018257"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0666097","state":"OH","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20200206002101","type_code":"33-C5","type_desc":"ORDER AND REFERRING ONLY - DENTIST","state":"OH","pac_id":"1355777541"}]},"enumeration_date":"2009-03-25","last_updated":"2023-06-30","_meta":{"source":"NPPES","snapshot_date":"2023-06-30","doc_url":"https://findmynpi.com/api"}}