Shane A. Boroditsky, P.A.
NPI 1043313828ActiveOrganization· Chiropractor· Maple Grove, MN
Chiropractor in Maple Grove, Minnesota, registered in NPPES in September 2006. The authorized official on file is Shane Alex Boroditsky, D.C., C.E.O. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1043313828 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 6, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MN) |
|---|
Other Chiropractor providers in Maple Grove
- 1548483050
- 1699049213
- 1225182892
- 1710125562
- 1942366679
- 1225198856
- 1013441443
- 1801087903
- 1487213377
- 1326164773
- 1447442041
- 1659549020