Individual provider Active NPI

Denis Boerjan, D.C.

  • Chiropractor
  • Saint Ansgar, IA
National Provider Identifier
1699768655
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A05898 Issued in IA
Practice address
417 W 4TH St
Saint Ansgar, IA 50472-1316
Phone
(507) 273-7236
NPI assigned
Aug 25, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X A05898 IA Primary

Addresses

Primary practice location

417 W 4TH St
Saint Ansgar, IA 50472-1316

Mailing address

PO Box 250
Saint Ansgar, IA 50472-0250
Phone (507) 273-7236

Other identifiers 2

IdentifierTypeStateIssuer
46949OtherIAIA WELLMARK BCBS
53038OtherIAIA MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050218000065 IA Practitioner - Chiropractic 3173575081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

417 W 4TH St
Advance Chiropractic and Spa
Saint Ansgar, IA 50472-1316
Phone (641) 713-2168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
A05898IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
DBMC LLC CurrentSince Nov 1, 2014 Accepting new patients
Denis Boerjan, LLC Chiropractor Current Accepting new patients

Locations

1724 37th St NW
Rochester, MN 55901
Phone (507) 288-6186

Organizations & group practices 2

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": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1699768655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250",
            "city": "SAINT ANSGAR",
            "state": "IA",
            "postal_code": "504720250",
            "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": {
        "last_name": "BOERJAN",
        "first_name": "DENIS",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IA WELLMARK BCBS",
            "identifier": "46949",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IA MEDICARE",
            "identifier": "53038",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jan 23, 2026; 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.