Ross Boekhoff

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

6900 78TH Ave N
Brooklyn Park, MN 55445-2719

Phone

(763) 432-6875

Fax

(833) 933-0639

NPI assigned

Mar 14, 2022

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1427706019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W 2ND ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022086",
            "telephone_number": "218-724-3122",
            "fax_number": "833-933-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 78TH AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554452719",
            "telephone_number": "763-432-6875",
            "fax_number": "833-933-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEKHOFF",
        "first_name": "ROSS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blessed Care Assisted Living LLC
• Blessing Residential Care
• Hannah Blevins
• Dawn Blindauer, DNP, APRN, CNP
• Patricia L Bloom
• Jordan Boekhout, D.C.
• Luke W Bogdanowicz, DDS
• Katie Bons
• Blake Boulka
• Tana Brakke, CCC-SLP

• Behavior Technician in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Behavior Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.