633 Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

13635 Issued in TX

Legal business name

633 CHIROPRACTIC LLC

Practice address

308 N Gray St # B
Killeen, TX 76541-5245

Phone

(225) 522-1380

Fax

(888) 620-8147

NPI assigned

Apr 26, 2018

Last updated

May 28, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Iperlitta Vance Lolis, DCNPI 1780059295

Title

Chiropractor/Owner

Phone

(225) 522-1380

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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.

• Iperlitta Vance Lolis, D.C.

  • Chiropractor
  • Killeen, TX
  • NPI 1780059295
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1366930208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 N GRAY ST # B",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765415245",
            "telephone_number": "225-522-1380",
            "fax_number": "888-620-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 N GRAY ST # B",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765415245",
            "telephone_number": "225-522-1380",
            "fax_number": "888-620-8147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "633 CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-26",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "LOLIS",
        "authorized_official_first_name": "IPERLITTA",
        "authorized_official_middle_name": "VANCE",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "225-522-1380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1780059295",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "392409401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Killeen, TX
• Providers in Killeen, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.