Organization Active NPI

Lifeway Chiropractic and Wellness LLC

  • Chiropractor
  • Apple Valley, MN
National Provider Identifier
1962568576
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LIFEWAY CHIROPRACTIC AND WELLNESS LLC
Practice address
7300 147TH St W Ste 101
Apple Valley, MN 55124-7541
Phone
(612) 508-2454
Fax
(612) 429-6791
NPI assigned
Dec 28, 2006
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Pamela HadlerNPI 1699863902
Title
President
Phone
(612) 508-2454

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)CodeLicenseStatePrimary
Chiropractor 111N00000X NU 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) 508-2454

Other names 1

  • Hadler Family Chiropractic LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050503001289 MN Part B Supplier - Clinic/Group Practice 1456391002 Receives reassigned benefits from 4 practitioners
Practice locations: Apple Valley, MN

National Provider Directory

National Provider Directory

Locations

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

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

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

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1962568576",
    "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": "612-508-2454",
            "fax_number": "612-429-6791"
        },
        {
            "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": "612-508-2454",
            "fax_number": "612-429-6791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEWAY CHIROPRACTIC AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2025-09-02",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "HADLER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-508-2454"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hadler Family Chiropractic LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Sep 2, 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.