NPIMap

Organization Active NPI

Lance R. Vanderloo Chiropractic L.L.C.

  • Chiropractor
  • Waterloo, IA
National Provider Identifier
1972801793
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007388 Issued in IA
Legal business name
LANCE R. VANDERLOO CHIROPRACTIC L.L.C.
Practice address
3731 Kimball Ave
Waterloo, IA 50702-5728
Phone
(319) 232-1143
Fax
(319) 232-3279
NPI assigned
Mar 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2011

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

Authorized official

Name
Dr. Lance R Vanderloo, D.C.
Title
Chiropractor
Phone
(319) 232-1143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 007388 IA Primary

Addresses

Primary practice location

3731 Kimball Ave
Waterloo, IA 50702-5728

Mailing address

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

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299024000000",
    "number": "1972801793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "organization_name": "LANCE R. VANDERLOO CHIROPRACTIC L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-02",
        "last_updated": "2011-03-02",
        "status": "A",
        "authorized_official_last_name": "VANDERLOO",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "319-232-1143",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007388",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.