SHANE A. BORODITSKY, P.A.
NPI 1043313828
Chiropractor in Maple Grove, MN

Q: What is Shane A. Boroditsky, P.A.'s NPI number?

The NPI number for Shane A. Boroditsky, P.A. is 1043313828. It was assigned to this organization in the NPPES registry on September 6, 2006.

Q: What is Shane A. Boroditsky, P.A.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Active since September 06, 2006

12000 ELM CREEK BLVD N, MAPLE GROVE, MN 55369(612) 281-3575(612) 605-8257 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shane A. Boroditsky, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANE A. BORODITSKY, P.A. (NPI 1043313828) is a healthcare organization registered as a chiropractor in Maple Grove, Minnesota and active in the NPI registry since September 2006. The organization lists Shane Alex Boroditsky, C.e.o., as its authorized official.

NPPES Registry Identity

NPI1043313828

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameSHANE A. BORODITSKY, P.A.

Location Address12000 ELM CREEK BLVD NMaple Grove, MN 55369-7073

Mailing AddressPo Box 582774Minneapolis, MN 55458-2774 · (612) 281-3575 · Fax (612) 605-8257

Phone(612) 281-3575

Fax(612) 605-8257

Organization SubpartNo

Authorized OfficialShane Alex BoroditskyC.e.o. · (612) 281-3575

Enumeration DateSeptember 6, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1043313828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

Definition

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.

12000 ELM CREEK BLVD N, Maple Grove, MN 55369

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMIE LAWLESS CMT

Contractor

12000 ELM CREEK BLVD N, SUITE L70
MAPLE GROVE, MN 55369

Hennepin County (763) 463-9444

MIRTHA NESHEIM M.D.

Family Medicine

12000 ELM CREEK BLVD N
MAPLE GROVE, MN 55369

Hennepin County (763) 420-5822

MS. GAY WYNNE LENTFER PA

Physician Assistant

12000 ELM CREEK BLVD N
MAPLE GROVE, MN 55369

Hennepin County (763) 420-5822

MICHAEL A GALLAGHER FNP

Nurse Practitioner (Occupational Health)

12000 ELM CREEK BLVD N, #140
MAPLE GROVE, MN 55369

Hennepin County (763) 420-7048

JAMIE L SLEDD

Clinic/Center (Dental)

12000 ELM CREEK BLVD N, SUITE 230
MAPLE GROVE, MN 55369

Hennepin County (763) 494-4443

DR. JAMIE LIN SLEDD DDS

Dentist (General Practice)

12000 ELM CREEK BLVD N, SUITE 230
MAPLE GROVE, MN 55369

Hennepin County (763) 494-4443

KAREN LYNN SCULLY ATC

Specialist/Technologist (Athletic Trainer)

12000 ELM CREEK BLVD N, #120
MAPLE GROVE, MN 55369

Hennepin County (763) 420-9960

GREAT PLANES REPRODUCTIVE CENTER, P.A.

Obstetrics & Gynecology (Reproductive Endocrinology)

12000 ELM CREEK BLVD N, SUITE 350
MAPLE GROVE, MN 55369

Hennepin County (763) 494-7700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane A. Boroditsky, P.A.'s NPI number?

The NPI number for Shane A. Boroditsky, P.A. is 1043313828. It was assigned to this organization in the NPPES registry on September 6, 2006.

Where is Shane A. Boroditsky, P.A. located?

Shane A. Boroditsky, P.A. is located at 12000 Elm Creek Blvd N, Maple Grove, MN 55369. The listed phone number is (612) 281-3575.

What is Shane A. Boroditsky, P.A.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Shane A. Boroditsky, P.A. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.