Active NPI
Selam Belay Deutschmann, D.C.
- Chiropractor
- Saint Louis, MO
National Provider Identifier
1316190101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2000151987
- 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, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241203003512 | MO | Practitioner - Chiropractic | 3779019567 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000151987 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spine Center | Chiropractor | Current | 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.
-
- Chiropractor
- Saint Louis, MO
- NPI 1114755063
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.