Active NPI
Denis Boerjan, LLC
- Chiropractor
- Saint Ansgar, IA
National Provider Identifier
1336368372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- MN 1344
- Legal business name
- DENIS BOERJAN, LLC
- Practice address
- 417 W 4TH St
Saint Ansgar, IA 50472-1316 - Phone
- (507) 273-7236
- NPI assigned
- Apr 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Denis John Boerjan, D.C.
- Title
- President
- Phone
- (507) 273-7236
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | MN 1344 | MN | Primary |
Addresses
Primary practice location
417 W 4TH St
Saint Ansgar, IA 50472-1316
Mailing address
417 W 4TH St
Saint Ansgar, IA 50472-1316
Phone (507) 273-7236
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 53038 | Other | IA | IA MEDICARE |
| 46949 | Other | IA | IA WELLMARK BCBS |
Other names 2
- Advance Chiropractic & Spa
- Advance Chiropractic Clinic
National Provider Directory
National Provider DirectoryLocations
1706 37th St NW
Rochester, MN 55901
Phone (507) 261-6312
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Rochester, MN
- NPI 1265879043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765497600000",
"number": "1336368372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 W 4TH ST",
"city": "SAINT ANSGAR",
"state": "IA",
"postal_code": "504721316",
"telephone_number": "507-273-7236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 W 4TH ST",
"city": "SAINT ANSGAR",
"state": "IA",
"postal_code": "504721316",
"telephone_number": "507-273-7236"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENIS BOERJAN, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-25",
"last_updated": "2025-12-12",
"certification_date": "2025-12-12",
"status": "A",
"authorized_official_last_name": "BOERJAN",
"authorized_official_first_name": "DENIS",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "507-273-7236",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MN",
"license": "MN 1344",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IA MEDICARE",
"identifier": "53038",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IA WELLMARK BCBS",
"identifier": "46949",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Advance Chiropractic & Spa",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Advance Chiropractic Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Advance Chiropractic Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Ansgar, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.