Organization Active NPI

Pro Chiropractic & Sports Clinic PLLC

  • Chiropractor
  • Waukee, IA
National Provider Identifier
1083401541
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PRO CHIROPRACTIC & SPORTS CLINIC PLLC
Practice address
505 E Hickman Rd Ste 115
Waukee, IA 50263-5063
Phone
(515) 988-4328
NPI assigned
Apr 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Authorized official

Name
Alexander BeltrameNPI 1649928193
Title
Owner
Phone
(816) 605-1644

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

505 E Hickman Rd Ste 115
Waukee, IA 50263-5063

Mailing address

505 E Hickman Rd Ste 115
Waukee, IA 50263-5063

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250905000748 IA Part B Supplier - Clinic/Group Practice 9133621550 Receives reassigned benefits from 1 practitioner
Practice locations: Waukee, IA

National Provider Directory

National Provider Directory

Locations

505 E Hickman Rd
Ste 115
Waukee, IA 50263
Phone (515) 988-4328

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1083401541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 E HICKMAN RD STE 115",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502635063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E HICKMAN RD STE 115",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502635063",
            "telephone_number": "515-988-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO CHIROPRACTIC & SPORTS CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "BELTRAME",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-605-1644"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukee, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.