Michael Robert Cusack, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019-027507 Issued in IL

Practice address

2323 W 2ND Ave Ste B
Durango, CO 81301-4646

Phone

(970) 274-0074

Fax

(309) 699-7050

NPI assigned

Sep 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Esthetic Dental Group LLC

  • Dentist
  • Farmington, NM
  • NPI 1699981324
  NPD (past)
• Hill Dentistry, LTD.

  • Dental Clinic/Center
  • Champaign, IL
  • NPI 1285754697
  NPD (past)

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1376730200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 W 2ND AVE STE B",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014646",
            "telephone_number": "505-327-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 W 2ND AVE STE B",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014646",
            "telephone_number": "970-274-0074",
            "fax_number": "309-699-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSACK",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-25",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00204574",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD3375",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-027507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert D Culver, PT
• David Cummins, DPT
• Janet Curry, LPC
• Regina Curry, LPCC, MS, AWC,
• Justin L Curtis, DPM
• Michael Custer
• D E Schenk PLLC
• Dennis William Dahlke, M.ED, LPC,CACIII
• Dale G Strietzel DDS
• Jane Dally, LPC

• General Practice Dentistry in Durango, CO
• Providers in Durango, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.