Organization Active NPI

Boschee Chiropractic, LTD

Doing business as Valley West Chiropractic Clinic

  • Clinic/Center
  • Bloomington, MN
National Provider Identifier
1619168200
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
003458 Issued in MN
Legal business name
BOSCHEE CHIROPRACTIC, LTD
Doing business as
Valley West Chiropractic Clinic
Practice address
10700 Normandale Blvd
Bloomington, MN 55437-2700
Phone
(952) 888-5805
Fax
(952) 888-7563
NPI assigned
Aug 7, 2007
Last updated
Apr 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Authorized official

Name
Dr. Troy Allen Boschee, D.C.NPI 1205913274
Title
Owner
Phone
(952) 888-5805

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 003458 MN Primary

Addresses

Primary practice location

10700 Normandale Blvd
Bloomington, MN 55437-2700

Mailing address

12300 Singletree Lane
Eden Prairie, MN 55344
Phone (952) 888-5805

Other identifiers 2

IdentifierTypeStateIssuer
266219100MedicaidMN
1205913274OtherNPI

Other names 1

  • Valley West Chiropractic Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070828000262 MN Part B Supplier - Clinic/Group Practice 2062504657 Receives reassigned benefits from 1 practitioner
Practice locations: Eden Prairie, MN

National Provider Directory

National Provider Directory

Locations

12300 Singletree Ln
Eden Prairie, MN 55344

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1619168200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12300 SINGLETREE LANE",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "55344",
            "telephone_number": "952-888-5805",
            "fax_number": "952-903-2816"
        },
        {
            "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": {
        "organization_name": "BOSCHEE CHIROPRACTIC, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "BOSCHEE",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-888-5805",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": "003458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266219100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1205913274",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley West Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.