John Paul Boustead, D.C.

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

DC009912 Issued in PA

Practice address

1813 E Carson St
Pittsburgh, PA 15203-1707

Phone

(412) 384-3523

Fax

(412) 384-3523

NPI assigned

Jun 5, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202774400000",
    "number": "1376745927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 E CARSON ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152031707",
            "telephone_number": "412-384-3523",
            "fax_number": "412-384-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 E CARSON ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152031707",
            "telephone_number": "412-384-3523",
            "fax_number": "412-384-3523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUSTEAD",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2008-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "NY",
            "license": "011287",
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "PA",
            "license": "DC009912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Olivier Bourguillon, MD
• Debra Anne Bourne, MD
• Donald Bourne, MD, PHD, MPH
• Bourse Optical Boutique, Inc.
• Alexis Bousamra, M.D.
• John Howard Bout, MA, MS, LBS
• Kassandra Bout
• Albert Bouwer Monroy, DO
• Breana Marie Bouyear
• Steven Bova, MS, ATC LAT

• Neurology Chiropractor in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Neurology Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.