Individual provider Active NPI

Pamela Hadler, D.C.

  • Chiropractor
  • Apple Valley, MN
National Provider Identifier
1699863902
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3593 Issued in MN
Practice address
7300 147TH St W Ste 101
Apple Valley, MN 55124-7541
Phone
(612) 251-7909
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3593 MN Primary

Addresses

Primary practice location

7300 147TH St W Ste 101
Apple Valley, MN 55124-7541

Mailing address

7300 147TH St W Ste 101
Apple Valley, MN 55124-7541
Phone (612) 251-7909

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050504000735 MN Practitioner - Chiropractic 0345280996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifeway Chiropractic and Wellness LLC 2 clinicians

Practice addresses (Care Compare)

7300 147TH St W
Suite 301
Apple Valley, MN 55124-7538
Phone (612) 508-2454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3593MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeway Chiropractic and Wellness LLC Chiropractor CurrentSince Feb 1, 2001 Accepting new patients
Body Systems, Inc. Past Accepting new patients

Locations

625 8th St
Farmington, MN 55024
Phone (651) 460-6560

7300 147th St W
Ste 301
Saint Paul, MN 55124
Phone (612) 508-2454

7300 147th St W
Ste 101
Saint Paul, MN 55124
Phone (612) 251-7909

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1699863902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 147TH ST W STE 101",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247541",
            "telephone_number": "612-251-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 147TH ST W STE 101",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247541",
            "telephone_number": "612-251-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADLER",
        "first_name": "PAMELA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.