Individual provider Active NPI

Troy A Boschee, D.C., C.C.S.P.

  • Sports Physician Chiropractor
  • Bloomington, MN
National Provider Identifier
1205913274
Registry record updated Aug 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
3458 Issued in MN
Practice address
10700 Normandale Blvd
Bloomington, MN 55437-2700
Phone
(952) 888-5805
Fax
(952) 888-7563
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 3458 MN Primary

Addresses

Primary practice location

10700 Normandale Blvd
Bloomington, MN 55437-2700

Mailing address

8351 Carriage Hill Alcove
Savage, MN 55378-2340
Phone (952) 445-3608

Other identifiers 1

IdentifierTypeStateIssuer
266219100MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070828000241 MN Practitioner - Chiropractic 6608968284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12300 Singletree LN
Suite 200
Eden Prairie, MN 55344-7964
Phone (952) 888-5805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3458MNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Boschee Chiropractic, LTD CurrentSince Aug 15, 2007 Accepting new patients

Locations

10700 Normandale Blvd
Bloomington, MN 55437
Phone (952) 888-5805

12300 Singletree Ln
Ste 200
Eden Prairie, MN 55344
Phone (952) 888-5805

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186531200000",
    "number": "1205913274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8351 CARRIAGE HILL ALCOVE",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553782340",
            "telephone_number": "952-445-3608",
            "fax_number": "952-888-7563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 NORMANDALE BLVD",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554372700",
            "telephone_number": "952-888-5805",
            "fax_number": "952-888-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSCHEE",
        "first_name": "TROY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C., C.C.S.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MN",
            "license": "3458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266219100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.