Organization Active NPI

Midway Chiropractic and Health Services PA

  • Chiropractor
  • Saint Paul, MN
National Provider Identifier
1912195124
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MIDWAY CHIROPRACTIC AND HEALTH SERVICES PA
Practice address
464 Hamline Ave S
Saint Paul, MN 55105-2945
Phone
(651) 644-7207
Fax
(651) 644-6653
NPI assigned
Oct 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Authorized official

Name
Christopher S Lilja, DCNPI 1073685848
Title
Owner
Phone
(651) 333-0658

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X MN Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X

Addresses

Primary practice location

464 Hamline Ave S
Saint Paul, MN 55105-2945

Mailing address

464 Hamline Ave S
Saint Paul, MN 55105-2945
Phone (651) 644-7207

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080804000390 MN Part B Supplier - Clinic/Group Practice 9537233960 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Paul, MN

National Provider Directory

National Provider Directory

Locations

464 Hamline Ave S
Saint Paul, MN 55105
Phone (651) 644-7207

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1912195124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 HAMLINE AVE S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551052945",
            "telephone_number": "651-644-7207",
            "fax_number": "651-644-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 HAMLINE AVE S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551052945",
            "telephone_number": "651-644-7207",
            "fax_number": "651-644-6653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWAY CHIROPRACTIC AND HEALTH SERVICES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "LILJA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-333-0658",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": null,
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.

Verify at the official NPI Registry.