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DR. KIMBERLY SUE LAKE D.C.
NPI 1376594713
Chiropractor in Bettendorf, IA

Active since May 12, 2006Accepts Medicare Assignment
2525 KIMBERLY RD, STE #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: August 09, 2026.

About Dr. Kimberly Sue Lake D.c. NPPES

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

DR. KIMBERLY SUE LAKE D.C. (NPI 1376594713) is an individual chiropractor in Bettendorf, Iowa, licensed in Iowa (06869) and active in the NPI registry since May 2006. She is a graduate of Other (2006).

NPPES Registry Identity

NPI1376594713
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. KIMBERLY SUE LAKECredential: D.C.
Location Address2525 KIMBERLY RD, STE #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
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMay 12, 2006
Last NPPES UpdateJanuary 23, 2025
NPPES CertifiedJanuary 23, 2025
✔ NPI 1376594713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IA · 06869
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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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kimberly Sue Lake D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799797882
PECOS Enrollment IDI20060607000099

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
227 services34 patients

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT THOMAS KAMINSKI D.C.
Chiropractor
2525 KIMBERLY RD, SUITE 1
BETTENDORF, IA 52722
Scott County (563) 344-0777
KAMINSKI PAIN AND PERFORMANCE CARE,P.C.
Chiropractor
2525 KIMBERLY RD, SUITE 1
BETTENDORF, IA 52722
Scott County (563) 344-0777
DR. PAUL RALPH BLACK JR. D.D.S.
Dentist
2525 KIMBERLY RD, SUITE#3
BETTENDORF, IA 52722
Scott County (563) 359-8271
KYLE DIRCK DC
Chiropractor
2525 KIMBERLY RD
BETTENDORF, IA 52722
Scott County (563) 344-0777

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 Kimberly Lake's NPI number?

The NPI number for Kimberly Lake is 1376594713. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Kimberly Lake located?

Kimberly Lake practices at 2525 Kimberly Rd Ste #1, Bettendorf, IA 52722. The listed phone number is (563) 344-0777.

What is Kimberly Lake's specialty?

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

Is Kimberly Lake enrolled in Medicare?

Yes. Kimberly Lake is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kimberly Lake 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 18 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.