NPPES file of Aug 9, 2026

Shane Alex Boroditsky, D.C.

Chiropractor · Maple Grove, MN

Shane Alex Boroditsky, D.C. is a chiropractor with a practice address in Maple Grove, Minnesota, and NPI 1962517870, issued on Aug 20, 2006. Check the license (Minnesota 3976, as entered in NPPES) with the Minnesota board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1962517870
Name
Shane Alex Boroditsky
Credential
D.C.
Primary taxonomy
Chiropractor 111N00000X
License number
3976 MN
Self-reported in NPPES; status is on the state search
Practice location
12000 Elm Creek Blvd N, Maple Grove, MN 55369
Phone
(612) 281-3575
Enumerated
Aug 20, 2006
Record last updated
Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
Fax
(612) 605-8257
Medicare enrollment
Enrolled (PECOS I20050701000666); accepts Medicare assignment
Medical or professional school
National College Of Chiropractic, 2000
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 12000 Elm Creek Blvd N

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Baird Alwin, D.D.S.General Practice Dentistry1952427619
  2. Lisa Batchelor, M.D.Pediatrics Physician1851362214
  3. Christopher Carlson, M.D.Family Medicine Physician1710979489
  4. Sung Chang, D.D.S.General Practice Dentistry1528184207
  5. Randle Corfman, PH.D, M.D.Reproductive Endocrinology Physician1649314584
  6. Pamela Dumke, M.D.Family Medicine Physician1841265857

Verify Shane Alex Boroditsky in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
    Search for license 3976
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Minnesota license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Shane Alex Boroditsky among 3,377 chiropractor records in Minnesota

Shane Alex Boroditsky, D.C. is one of 3,377 chiropractor records with a practice address in Minnesota. 24% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2006, is newer than 5% of them.

  • NPI issued2006 · 5% of these records are older, 69% newer
  • In a Medicare fileNo · 24% of these records are
  • In the CMS Doctors and Clinicians fileYes · 45% of these records are
  • Graduated2000 · median 2007 among the 1,518 with a school on file
  • Record last updated2007 · 74% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 111N00000X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

53 chiropractor records list a practice address in Maple Grove

They are 53 of the 1,568 NPPES records with a practice address in Maple Grove, and 3,377 chiropractor records in Minnesota. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 chiropractor records with the nearest ZIP codes

  1. Joel Branes, D.C.Maple Grove, MN 553691255532909
  2. Douglas Broman, DCMaple Grove, MN 553691962598052
  3. Andrew Coulson, D.C.Maple Grove, MN 553691003005018
  4. Phillip Detlefsen, D.C.Maple Grove, MN 553691316058605
  5. Judy Jensen, D.C.Maple Grove, MN 553691578693529
  6. Keith Johnson, DCMaple Grove, MN 553691568553147
  7. Franklin Lopez, DCMaple Grove, MN 553691871792564
  8. Carolyn OharaMaple Grove, MN 553691407967292

Common questions

What is Shane Alex Boroditsky, D.C.'s NPI number?

Shane Alex Boroditsky, D.C.'s National Provider Identifier (NPI) is 1962517870, issued on Aug 20, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Shane Alex Boroditsky, D.C. located?

The NPPES record lists a practice address at 12000 Elm Creek Blvd N, Maple Grove, MN, 55369. Phone: (612) 281-3575. Providers update this record themselves, so call before visiting.

How can I verify Shane Alex Boroditsky, D.C.'s license?

NPPES lists Minnesota license number 3976, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.