Adena Fern Borodkin, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D11961 Issued in MN

Practice address

5128 Tifton Dr
Edina, MN 55439-1457

Phone

(952) 942-7414

NPI assigned

Oct 2, 2006

Sex

Female

Sole proprietor

No

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

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Hennepin Healthcare System, Inc

  • Rehabilitation Hospital Unit
  • Minneapolis, MN
  • NPI 1033138136
  Medicare reassignment NPD
• Golden Valley Kids PLLC

  • Pediatric Dentistry
  • Golden Valley, MN
  • NPI 1780198010
  NPD Authorized official
• Hennepin Healthcare System Inc

  • Specialty Pharmacy
  • Minneapolis, MN
  • NPI 1619567625
  NPD
• Hennepin Healthcare System, Inc

  • Psychiatric Hospital Unit
  • Minneapolis, MN
  • NPI 1356369524
  NPD

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1699868604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5128 TIFTON DR",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554391457",
            "telephone_number": "952-942-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5128 TIFTON DR",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554391457",
            "telephone_number": "952-942-7414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "715 S 8th St",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554041210",
            "country_code": "US",
            "telephone_number": "612-873-6963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORODKIN",
        "first_name": "ADENA",
        "middle_name": "FERN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MN",
            "license": "D11961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris Peter Boosalis, CERTIFIED PROSTHETIS
• Julie Edith Borgen, HIS
• Tove Nikol Borgendale-Potchinsky, TOVE BORGENDALE
• Hannah Christine Rikkers Borkhus, MA, LPCC
• Samuel Bornhorst, OTR
• Margaret Bostrom, CRNA
• Sarah Teresa Bot, PHYSICIAN ASSISTANT
• Both& Counseling PLLC
• David Botros, PA-C
• Brian Patrick Bottenfield Jr., DC

• Pediatric Dentistry in Edina, MN
• Providers in Edina, MN by specialty
• Pediatric Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.