Individual provider Active NPI

Iperlitta Vance Lolis, D.C.

  • Chiropractor
  • Killeen, TX
National Provider Identifier
1780059295
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13635 Issued in TX
Practice address
308 N Gray St # B
Killeen, TX 76541-5245
Phone
(225) 522-1380
Fax
(888) 620-8147
NPI assigned
Dec 9, 2015
Last updated
May 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1757 LA
Chiropractor 111N00000X 13635 TX Primary

Addresses

Primary practice location

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

Mailing address

308 N Gray St # B
Killeen, TX 76541-5245
Phone (225) 522-1380

Other practice location 1

300 N 10th St Unit 478
Killeen, TX 76540-2422
Phone (225) 522-1380

Other practice location 2

300 W Central Texas Expy
Killeen, TX 76541-2541
Phone (225) 754-2448

Other practice location 3

7336 Hwy 1 South
Belle Rose, LA 70341
Phone (225) 473-3186

Other identifiers 2

IdentifierTypeStateIssuer
1780059295OtherTXNPI
392409401MedicaidTX

Other names 1

  • Dr. Iperlitta Meco Vance Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181206003147 TX Practitioner - Chiropractic 3971800012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

308 N Gray St
B
Killeen, TX 76541-5245
Phone (225) 522-1380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13635TXMDAddiction (Substance Use Disorder) Counselor
1757LAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
633 Chiropractic LLC Chiropractor CurrentSince May 25, 2018 Accepting new patients

Locations

1711 E Central Texas Expy
Ste 201A1
Killeen, TX 76541
Phone (254) 833-5089

300 N 10th St
Unit 478
Killeen, TX 76540
Phone (225) 522-1380

308 N Gray St
#B
Killeen, TX 76541
Phone (225) 522-1380

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1780059295",
    "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": [
        {
            "address_1": "300 N 10th St Unit 478",
            "address_purpose": "LOCATION",
            "city": "Killeen",
            "state": "TX",
            "postal_code": "765402422",
            "country_code": "US",
            "telephone_number": "225-522-1380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 W Central Texas Expy",
            "address_purpose": "LOCATION",
            "city": "Killeen",
            "state": "TX",
            "postal_code": "765412541",
            "country_code": "US",
            "telephone_number": "225-754-2448",
            "fax_number": "225-754-2448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7336 Hwy 1 South",
            "address_purpose": "LOCATION",
            "city": "Belle Rose",
            "state": "LA",
            "postal_code": "70341",
            "country_code": "US",
            "telephone_number": "225-473-3186",
            "fax_number": "225-473-3188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOLIS",
        "first_name": "IPERLITTA",
        "middle_name": "VANCE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-09",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1757",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1780059295",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "392409401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IPERLITTA",
            "last_name": "VANCE",
            "middle_name": "MECO",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Killeen, TX

Sources for this page

  • 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.
  • 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.