Spine Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SPINE CENTER

Practice address

5219 Delmar Blvd
Saint Louis, MO 63108-1027

Phone

(314) 454-1437

Fax

(314) 361-9355

NPI assigned

Jul 23, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Selam Deutschmann, D.C.NPI 1316190101

Title

Owner

Phone

(314) 454-1437

Specialties & licenses 1

Addresses

Other names 1

• The Spine Center LLC Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Selam Belay Deutschmann, D.C.

  • Chiropractor
  • Saint Louis, MO
  • NPI 1316190101
  NPD Authorized official
• Eritrea Michael Tecletsion, D.C.

  • Chiropractor
  • St. Louis, MO
  • NPI 1386737047
  NPD (past)

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1114755063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 DELMAR BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081027",
            "telephone_number": "314-454-1437",
            "fax_number": "314-361-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5219 DELMAR BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081027",
            "telephone_number": "314-454-1437",
            "fax_number": "314-361-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "DEUTSCHMANN",
        "authorized_official_first_name": "SELAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-454-1437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Spine Center LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "The Spine Center LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Demond Lamont Spiller
• Jenna Spindler, RD
• Spine and Joint Care of Fenton, LLC
• Spine and Joint Rehab Center
• Spine Care Inc
• Philip Charles Spinella, MD
• Spinemore Surgical Associates, P.C.
• Elissa Spinks
• Hailey Spinks, PHD, BCBA-D
• Grace Spinner, CNS

• Chiropractor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.