Kaminski Pain and Performance Care,P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

06254 Issued in IA

Legal business name

KAMINSKI PAIN AND PERFORMANCE CARE,P.C.

Practice address

2525 Kimberly Rd
Suite 1
Bettendorf, IA 52722-3538

Phone

(563) 344-0777

Fax

(563) 344-0888

NPI assigned

May 12, 2006

Last updated

Jan 23, 2025By 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

Kimberly Sue Lake, DCNPI 1376594713

Title

President/Owner

Phone

(563) 344-0777

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 4

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.

• Kimberly Sue Lake, D.C.

  • Chiropractor
  • Bettendorf, IA
  • NPI 1376594713
  Medicare reassignment Care Compare group Authorized official
• Kyle Dirck, DC

  • Chiropractor
  • Bettendorf, IA
  • NPI 1740838713
  Medicare reassignment Care Compare group
• Jesse D Walden, D.C.

  • Sports Physician Chiropractor
  • Shawnee, KS
  • NPI 1578719340

  IA

  Medicare reassignment Care Compare group
• Kathleen Marie Kaminski, D.C.

  • Rehabilitation Chiropractor
  • Bettendorf, IA
  • NPI 1295828226
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1255381828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4626 PROGRESS DR STE D",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073485",
            "telephone_number": "563-344-0777",
            "fax_number": "563-344-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 KIMBERLY RD",
            "address_2": "SUITE 1",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223538",
            "telephone_number": "563-344-0777",
            "fax_number": "563-344-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMINSKI PAIN AND PERFORMANCE CARE,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "LAKE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "563-344-0777",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marni Fertig Juhasz, PHARMD
• Julie Meyers DC (LiveWell Chiropractic Clinic)
• Grace Kadavy
• Joseph Kadavy
• Mudappa Karineravanda Kalaiah, MD
• Kathleen Marie Kaminski, D.C.
• Robert Thomas Kaminski, D.C.
• Naveen R Kanathur, MD
• Francis Leo Kane, MD
• Maruti Ratan Kari, M.D., M.P.H.

• Chiropractor in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.