{"npi":"1295732352","type":"NPI-1","status":"active","name":{"display":"Dina Boutros M.D.","other":[],"first":"DINA","last":"BOUTROS","middle":"YOUSEFF","credential":"M.D."},"specialty":{"primary_taxonomy":"2084N0400X","primary_taxonomy_description":"Neurology","slug":"neurology","schema_org_specialty":"Neurologic","all":[{"code":"2084N0400X","description":"Neurology","primary":true,"state":"OH","license":"35073803"}]},"addresses":[{"purpose":"LOCATION","street_1":"3562 RIDGE PARK DR","city":"FAIRLAWN","state":"OH","postal_code":"443339294","country_code":"US","street_2":"STE. A","phone":"3306640767","fax":"3306640766"},{"purpose":"MAILING","street_1":"3562 RIDGE PARK DR","city":"FAIRLAWN","state":"OH","postal_code":"443339294","country_code":"US","street_2":"STE. A","phone":"3306640767","fax":"3306640766"}],"license":{"state":"OH","number":"35073803"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"2340087","state":"OH","issuer":null},{"type_code":"01","label":"Other","value":"2551671","state":"OH","issuer":"PARTNERS PHYSICIAN GROUP MEDICAID GROUP #"},{"type_code":"01","label":"Other","value":"9338635","state":"OH","issuer":"PARTNERS PHYSICIAN GROUP MEDICARE GROUP #"},{"type_code":"01","label":"Other","value":"1841239274","state":"OH","issuer":"PARTNERS PHYSICIAN GROUP TYPE 2 NPI #"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20050421001254","type_code":"14-13","type_desc":"PRACTITIONER - NEUROLOGY","state":"OH","pac_id":"8921046731"}]},"enumeration_date":"2005-07-05","last_updated":"2016-10-11","_meta":{"source":"NPPES","snapshot_date":"2016-10-11","doc_url":"https://findmynpi.com/api"}}