Active NPI
Borsheim Clinic PLLC
- Chiropractor
- Prior Lake, MN
National Provider Identifier
1962950469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5724
- Legal business name
- BORSHEIM CLINIC PLLC
- Doing business as
- ChiroFit Health & wellness
- Practice address
- 3915 Trail Point CT NW
Prior Lake, MN 55372-4118 - Phone
- (701) 740-5832
- NPI assigned
- Sep 14, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Worner Borsheim, D.C.
- Title
- Owner/Chiropractor
- Phone
- (701) 740-5832
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5724 | MN | Primary |
Addresses
Primary practice location
3915 Trail Point CT NW
Prior Lake, MN 55372-4118
Mailing address
7114 Shady Oak Rd
Eden Prairie, MN 55344
Phone (952) 943-2404
Other names 1
- ChiroFit Health & wellness
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7114 Shady Oak Rd
Eden Prairie, MN 55344
Phone (952) 943-2404
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Eden Prairie, MN
- NPI 1922423573
-
- Chiropractor
- Eden Prairie, MN
- NPI 1952143919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473811200000",
"number": "1962950469",
"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": "55344",
"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": "3915 TRAIL POINT CT NW",
"city": "PRIOR LAKE",
"state": "MN",
"postal_code": "553724118",
"telephone_number": "701-740-5832"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BORSHEIM CLINIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-14",
"last_updated": "2016-09-14",
"status": "A",
"authorized_official_last_name": "BORSHEIM",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "WORNER",
"authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
"authorized_official_telephone_number": "701-740-5832",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MN",
"license": "5724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ChiroFit Health & wellness",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Prior Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.