Individual provider Active NPI

Lance E Vanderloo, D.C.

  • Chiropractor
  • Waterloo, IA
National Provider Identifier
1003817305
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
04432 Issued in IA
Practice address
3731 Kimball Ave
Waterloo, IA 50702-5728
Phone
(319) 232-1143
Fax
(319) 232-3279
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 04432 IA Primary

Addresses

Primary practice location

3731 Kimball Ave
Waterloo, IA 50702-5728

Mailing address

3608 Inverness Rd
Waterloo, IA 50701-4636
Phone (319) 232-7650

Other identifiers 1

IdentifierTypeStateIssuer
0032300MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041111000966 IA Practitioner - Chiropractic 8729041512 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intentional Chiropractic PCGroup PAC ID 3577032846, 2 clinicians
Waterloo Chiropractic Center PLLCGroup PAC ID 6608299052, 2 clinicians

Practice addresses (Care Compare)

3640 Canterbury CT
Waterloo, IA 50702-5705
Phone (319) 486-1169

3731 Kimball Ave
Waterloo, IA 50702-5728
Phone (319) 232-1143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04432IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Waterloo Chiropractic Center PLLC Chiropractor CurrentSince Aug 1, 2020 Accepting new patients

Locations

3731 Kimball Ave
Waterloo, IA 50702
Phone (319) 231-4779

Networks

  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1003817305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3608 INVERNESS RD",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507014636",
            "telephone_number": "319-232-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3731 KIMBALL AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025728",
            "telephone_number": "319-232-1143",
            "fax_number": "319-232-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERLOO",
        "first_name": "LANCE",
        "middle_name": "E",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "04432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0032300",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.