Matthew Gregory Borowicz, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D14190 Issued in MN

Practice address

10611 France Ave S Ste 201
Bloomington, MN 55431-3554

Phone

(952) 881-8404

NPI assigned

May 29, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kuhr Dental Group

  • Dentist
  • Shakopee, MN
  • NPI 1275292641
  NPD (past)
• Mint Dental Shakopee PLLC

  • Dental Clinic/Center
  • Shakopee, MN
  • NPI 1689149775
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1154989770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7115 33RD AVE N",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554272107",
            "telephone_number": "218-478-4527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10611 FRANCE AVE S STE 201",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554313554",
            "telephone_number": "952-881-8404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 2nd St SE",
            "address_purpose": "LOCATION",
            "city": "Milaca",
            "state": "MN",
            "postal_code": "563531207",
            "country_code": "US",
            "telephone_number": "218-478-4527",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206 N Hill Ave",
            "address_purpose": "LOCATION",
            "city": "Ogilvie",
            "state": "MN",
            "postal_code": "563584501",
            "country_code": "US",
            "telephone_number": "218-478-4527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOROWICZ",
        "first_name": "MATTHEW",
        "middle_name": "GREGORY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-29",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D14190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Marie Boone-Vikingson, D.C.
• Gane Marie Boothroyd, O.D.
• Jessica Bordenave, PSYD, LP
• Christopher Yates Borger, MD
• Marima Borja
• Boschee Chiropractic, LTD
• Troy A Boschee, D.C., C.C.S.P.
• Brianna Marie Bosma, DPT
• Kiana Laureli Boston
• Jared Brent Bostrom, LMFT, LADC, CPRP

• All providers in Bloomington, MN
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.