Active NPI
Iperlitta Vance Lolis, D.C.
- Chiropractor
- Killeen, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 13635
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780059295 | Other | TX | NPI |
| 392409401 | Medicaid | TX |
Other names 1
- Dr. Iperlitta Meco Vance
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13635 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 1757 | LA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 633 Chiropractic LLC | Chiropractor | Current | 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.
-
- Chiropractor
- Killeen, TX
- NPI 1366930208
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.