Healthcare Provider Details

I. General information

NPI: 1649928193
Provider Name (Legal Business Name): ALEXANDER BELTRAME DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2022
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 E HICKMAN RD STE 115
WAUKEE IA
50263-5063
US

IV. Provider business mailing address

22120 MIDLAND DR STE 1
SHAWNEE KS
66226-3554
US

V. Phone/Fax

Practice location:
  • Phone: 515-988-4328
  • Fax:
Mailing address:
  • Phone: 913-745-4064
  • Fax: 913-745-4352

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2022008190
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: