Active NPI
Troy A Boschee, D.C., C.C.S.P.
- Sports Physician Chiropractor
- Bloomington, MN
National Provider Identifier
1205913274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 3458
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 266219100 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3458 | MN | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boschee Chiropractic, LTD | Current | 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.