Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Shane Alex Boroditsky, DC

Individual provider Chiropractor · NPI 1962517870

Dr. Shane Alex Boroditsky, DC is a Chiropractic in Maple Grove, Minnesota. Graduated from National College of Chiropractic in 2000, 26 years ago. Accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
26
Trained at
National College of Chiropractic
Licensed in
MN
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

12000 Elm Creek Blvd N Ste L70
Maple Grove, MN 55369-7073
Phone: (612) 281-3575
Fax: (612) 605-8257
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 3976 (MN)

Record details

NPI number1962517870
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedAugust 20, 2006
Last updated in NPPESJuly 8, 2007
Mailing addressPo Box 582774, Minneapolis, MN 55458-2774

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolNATIONAL COLLEGE OF CHIROPRACTIC
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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