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DR. SHANE ALEX BORODITSKY D.C.
NPI 1962517870
Chiropractor in Maple Grove, MN

Active since August 20, 2006Accepts Medicare Assignment
12000 ELM CREEK BLVD N, SUITE L70, MAPLE GROVE, MN 55369(612) 281-3575(612) 605-8257 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Shane Alex Boroditsky D.c. NPPES

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

DR. SHANE ALEX BORODITSKY D.C. (NPI 1962517870) is an individual chiropractor in Maple Grove, Minnesota, licensed in Minnesota (3976) and active in the NPI registry since August 2006. He is a graduate of National College Of Chiropractic (2000).

NPPES Registry Identity

NPI1962517870
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. SHANE ALEX BORODITSKYCredential: D.C.
Location Address12000 ELM CREEK BLVD N, SUITE L70Maple 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
Sole ProprietorNo
Medical School CMSNational College Of ChiropracticGraduated 2000
Enumeration DateAugust 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1962517870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 3976
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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Other Identifiers 4

Other110238MN · Health Partners
Medicare UPINU89581
Other329G7BOMN · Blue Cross / Blue Shield
Other44-50913MN · Medica

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Shane Alex Boroditsky D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375589104
PECOS Enrollment IDI20050701000666

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
72 services11 patients

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
SHANE A. BORODITSKY, P.A.
Chiropractor
12000 ELM CREEK BLVD N
MAPLE GROVE, MN 55369
Hennepin County (612) 281-3575
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

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 Boroditsky's NPI number?

The NPI number for Shane Boroditsky is 1962517870. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Shane Boroditsky located?

Shane Boroditsky practices at 12000 Elm Creek Blvd N Suite L70, Maple Grove, MN 55369. The listed phone number is (612) 281-3575.

What is Shane Boroditsky's specialty?

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

Is Shane Boroditsky enrolled in Medicare?

Yes. Shane Boroditsky is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shane Boroditsky accept?

Health plans from Medica list Shane Boroditsky as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shane Boroditsky was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.