Shane A. Boroditsky, P.A.
Shane A. Boroditsky, P.A. is a healthcare organization registered as Chiropractor in Maple Grove, MN, holding Type 2 (organization) NPI 1043313828 since 2006. The authorized official on file is Shane Boroditsky, C.E.O..
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1043313828 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Shane A. Boroditsky, P.A. |
| Practice address | 12000 ELM CREEK BLVD N, Maple Grove, MN, 55369 |
| Phone | 6122813575 |
| Fax | 6126058257 |
| Enumeration date | 2006-09-06 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Shane Boroditsky |
|---|---|
| Title | C.E.O. |
| Phone | 6122813575 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 111N00000X | Chiropractor | Primary | — | — |
Copy-ready billing details
Provider: Shane A. Boroditsky, P.A. NPI: 1043313828 Taxonomy: 111N00000X (Chiropractor) Address: 12000 ELM CREEK BLVD N, Maple Grove, MN, 55369
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1710979489 | Christopher Carlson | Individual | Family Medicine Physician | Maple Grove, MN |
| 1851362214 | Lisa Batchelor | Individual | Pediatrics Physician | Maple Grove, MN |
| 1457322802 | John Paulson | Individual | Pediatrics Physician | Maple Grove, MN |
| 1841265857 | Pamela Dumke | Individual | Family Medicine Physician | Maple Grove, MN |
| 1104891100 | Gay Lentfer | Individual | Physician Assistant | Maple Grove, MN |
| 1093780934 | Mirtha Nesheim | Individual | Family Medicine Physician | Maple Grove, MN |
| 1932175510 | Michael Stiegler | Individual | Family Medicine Physician | Maple Grove, MN |
| 1609834944 | Maple Grove Urgent Care | Organization | Urgent Care Clinic/Center | Maple Grove, MN |
Verify this record
Cross-check NPI 1043313828 against the authoritative CMS record: view Shane A. Boroditsky, P.A. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Shane A. Boroditsky, P.A.?
Who is the authorized official for Shane A. Boroditsky, P.A.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.