Boukus Enterprise Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC009096 Issued in PA

Legal business name

BOUKUS ENTERPRISE INC

Doing business as

Moon Chiropractic

Practice address

410 Rouser Rd
Suite 102
Moon Township, PA 15108-2841

Phone

(724) 513-0521

Fax

(412) 264-4509

NPI assigned

Aug 24, 2010

Last updated

Aug 24, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dimitrios Spiropoulos, D.C.NPI 1760429047

Title

President

Phone

(724) 513-0521

Specialties & licenses 1

Addresses

Other names 1

• Moon Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dimitrios Spiropoulos, D.C.

  • Chiropractor
  • Phoenix, AZ
  • NPI 1760429047

  PA

  Medicare reassignment Care Compare group NPD Authorized official
• Ryan C Rumbaugh, DC

  • Chiropractor
  • McMurray, PA
  • NPI 1306268875
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1366758708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 ROUSER RD",
            "address_2": "SUITE 102",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151082841",
            "telephone_number": "724-513-0521",
            "fax_number": "412-264-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 ROUSER RD",
            "address_2": "SUITE 102",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151082841",
            "telephone_number": "724-513-0521",
            "fax_number": "412-264-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUKUS ENTERPRISE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-24",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "SPIROPOULOS",
        "authorized_official_first_name": "DIMITRIOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-513-0521",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moon Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen H Beckjord, PSY.D.
• Kayla J Belack, MOT
• Meghan Bell
• Megan Berringer, LCSW
• Samantha Bohr, LPC
• Lorena Brandl, PHARMD
• Shelly Brands, CCC-SLP
• Kirsten Jean Brennan, MSN, RN
• Kelly Elizabeth Brown, CRNP
• Thomas Alan Brown, DMD

• Chiropractor in Moon Township, PA
• Providers in Moon Township, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.