DR. SHANE ALEX BORODITSKY D.C. NPI 1962517870

NPI Information

  • NPI: 1962517870
  • Provider Name: DR. SHANE ALEX BORODITSKY, D.C.
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Individual
  • Address: 12000 ELM CREEK BLVD N
    SUITE L70
    MAPLE GROVE, MN
    ZIP 55369
  • Phone: (612) 281-3575

Map and Directions

Get Directions

NPI Details

DR. Shane Alex Boroditsky, D.C. is a chiropractor in Maple Grove, MN with 26 years of experience. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Shane Alex Boroditsky, D.C. NPI is 1962517870. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NATIONAL COLLEGE OF CHIROPRACTIC
Graduation Year:2000

The provider's business location address is:

12000 ELM CREEK BLVD N
SUITE L70
MAPLE GROVE, MN
ZIP 55369-073
Phone: (612) 281-3575
Fax: (612) 605-8257

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Chiropractic manipulative treatment, 3-4 spinal regions (HCPCS:98941)

The enumeration date for this NPI number is 8/20/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor3976MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1110238OTHERMINNESOTAHEALTH PARTNERS
2U89581MEDICARE UPIN
3329G7BOOTHERMINNESOTABLUE CROSS / BLUE SHIELD
444-50913OTHERMINNESOTAMEDICA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI