KAMINSKI PAIN AND PERFORMANCE CARE,P.C.
NPI 1255381828
Chiropractor in Bettendorf, IA

Q: What is Kaminski Pain And Performance Care,p.C.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Active since May 12, 2006

2525 KIMBERLY RD, SUITE 1, BETTENDORF, IA 52722(563) 344-0777(563) 344-0888 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Kaminski Pain And Performance Care,p.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAMINSKI PAIN AND PERFORMANCE CARE,P.C. (NPI 1255381828) is a healthcare organization registered as a chiropractor in Bettendorf, Iowa and active in the NPI registry since May 2006. The organization lists Kimberly Sue Lake, President/owner, as its authorized official.

NPPES Registry Identity

NPI1255381828

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameKAMINSKI PAIN AND PERFORMANCE CARE,P.C.

Location Address2525 KIMBERLY RD, SUITE 1Bettendorf, IA 52722-3538

Mailing Address4626 Progress Dr Ste DDavenport, IA 52807-3485 · (563) 344-0777 · Fax (563) 344-0888

Phone(563) 344-0777

Fax(563) 344-0888

Organization SubpartNo

Authorized OfficialKimberly Sue LakePresident/owner · (563) 344-0777

Enumeration DateMay 12, 2006

Last NPPES UpdateJanuary 23, 2025

NPPES CertifiedJanuary 23, 2025

✔ NPI 1255381828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in IA · 06254

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

2525 KIMBERLY RD, Bettendorf, IA 52722

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaminski Pain And Performance Care,p.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Kaminski Pain And Performance Care,p.C., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Kimberly Lake, D.C.

Chiropractic

NPI 1376594713

2525 KIMBERLY RD STE #1
Bettendorf, IA 52722

(563) 344-0777

✔ Accepts MedicareSame address

Kyle Dirck, DC

Chiropractic

NPI 1740838713

2525 KIMBERLY RD
Bettendorf, IA 52722

(563) 344-0777

✔ Accepts MedicareSame address

Jesse Walden, D.C.

Chiropractic

NPI 1578719340

11652 W. 75 ST.
Shawnee, KS 66214

(913) 825-1235

✔ Accepts Medicare283 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaminski Pain And Performance Care,p.C.'s NPI number?

The NPI number for Kaminski Pain And Performance Care,p.C. is 1255381828. It was assigned to this organization in the NPPES registry on May 12, 2006.

Where is Kaminski Pain And Performance Care,p.C. located?

Kaminski Pain And Performance Care,p.C. is located at 2525 Kimberly Rd Suite 1, Bettendorf, IA 52722. The listed phone number is (563) 344-0777.

What is Kaminski Pain And Performance Care,p.C.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Kaminski Pain And Performance Care,p.C. enrolled in Medicare?

Yes. Kaminski Pain And Performance Care,p.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kaminski Pain And Performance Care,p.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Chiropractic, reassign their Medicare billing to Kaminski Pain And Performance Care,p.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kaminski Pain And Performance Care,p.C. was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.