Active NPI
Daniel Borgen, M.D.
- Orthopaedic Surgery Physician
- Golden Valley, MN
National Provider Identifier
1073876876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 21356
- Practice address
- 1811 Pennsylvania Ave N
Golden Valley, MN 55427-4015 - Phone
- (763) 545-7076
- NPI assigned
- Jun 18, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 21356 | MN | Primary |
Addresses
Primary practice location
1811 Pennsylvania Ave N
Golden Valley, MN 55427-4015
Mailing address
1811 Pennsylvania Ave N
Golden Valley, MN 55427-4015
Phone (763) 545-7076
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21356 | MN | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339977600000",
"number": "1073876876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1811 PENNSYLVANIA AVE N",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554274015",
"telephone_number": "763-545-7076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1811 PENNSYLVANIA AVE N",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554274015",
"telephone_number": "763-545-7076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORGEN",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-18",
"last_updated": "2012-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MN",
"license": "21356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Golden Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.