Individual provider Active NPI

Selam Belay Deutschmann, D.C.

  • Chiropractor
  • Saint Louis, MO
National Provider Identifier
1316190101
Registry record updated Oct 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2000151987 Issued in MO
Practice address
5219 Delmar Blvd
Saint Louis, MO 63108-1027
Phone
(314) 454-1437
Fax
(314) 361-9355
NPI assigned
Oct 24, 2008
Last updated
Oct 24, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2000151987 MO Primary
Sports Physician Chiropractor 111NS0005X 2000151987 MO

Addresses

Primary practice location

5219 Delmar Blvd
Saint Louis, MO 63108-1027

Mailing address

5219 Delmar Blvd
Saint Louis, MO 63108-1027
Phone (314) 454-1437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241203003512 MO Practitioner - Chiropractic 3779019567

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2000151987MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Spine Center Chiropractor CurrentSince Sep 24, 2024 Accepting new patients

Locations

5219 Delmar Blvd
Saint Louis, MO 63108
Phone (314) 454-1437

6973 Olive Blvd
University City, MO 63130
Phone (314) 454-1437

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224806400000",
    "number": "1316190101",
    "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": {
        "last_name": "DEUTSCHMANN",
        "first_name": "SELAM",
        "middle_name": "BELAY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-24",
        "last_updated": "2008-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2000151987",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MO",
            "license": "2000151987",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.