Individual provider Active NPI

John Borsheim, D.C.

  • Chiropractor
  • Eden Prairie, MN
National Provider Identifier
1922423573
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5724 Issued in MN
Practice address
7114 Shady Oak Rd
Eden Prairie, MN 55344-3517
Phone
(952) 943-2404
Fax
(952) 943-2400
NPI assigned
Feb 19, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5724 MN Primary

Addresses

Primary practice location

7114 Shady Oak Rd
Eden Prairie, MN 55344-3517

Mailing address

7114 Shady Oak Rd
Eden Prairie, MN 55344-3517
Phone (952) 943-2404

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140305000095 MN Practitioner - Chiropractic 4789814187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Borsheim Clinic PLLCGroup PAC ID 5193013522, 2 clinicians

Practice addresses (Care Compare)

7114 Shady Oak Rd
Eden Prairie, MN 55344-3517
Phone (952) 943-2404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Borsheim Clinic PLLC Chiropractor CurrentSince Sep 21, 2016 Accepting new patients

Locations

7114 Shady Oak Rd
Eden Prairie, MN 55344
Phone (952) 943-2404

Organizations & group practices 1

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": "1392768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1922423573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7114 SHADY OAK RD",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443517",
            "telephone_number": "952-943-2404",
            "fax_number": "952-943-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7114 SHADY OAK RD",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443517",
            "telephone_number": "952-943-2404",
            "fax_number": "952-943-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORSHEIM",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-19",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.