Kimberly Sue Lake, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

06869 Issued in IA

Practice address

2525 Kimberly Rd
Ste #1
Bettendorf, IA 52722-3538

Phone

(563) 344-0777

Fax

(563) 344-0888

NPI assigned

May 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kaminski Pain and Performance Care,P.C.Group PAC ID 9739190828, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Kaminski Pain and Performance Care,P.C.

  • Chiropractor
  • Bettendorf, IA
  • NPI 1255381828
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1376594713",
    "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": "STE #1",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223538",
            "telephone_number": "563-344-0777",
            "fax_number": "563-344-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKE",
        "first_name": "KIMBERLY",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Narinder Kumar, M.D.
• Pomilla Kumar, M.D.
• Kathryn M Kunkel, M.S., CCC-SLP, BCBA
• Hungpo Kuo, LIC.AC, D.C., O.M.D.
• Madelyn Nicole Kussmann, PA-C
• Lindsey J Lange, ARNP, DNP
• William M Langley, MD
• April Raine Lanning, DO
• Susan M. Larkin Thier, D.C.
• Erling Larson III, MD

• 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.
• 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.