Organization Active NPI

Damien Sampson LLC

  • Chiropractor
  • Wentzville, MO
National Provider Identifier
1326641135
Registry record updated Jul 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DAMIEN SAMPSON LLC
Practice address
112 E Pearce Blvd
Wentzville, MO 63385-1511
Phone
(314) 626-3129
NPI assigned
Nov 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2025

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

Authorized official

Name
Dr. Damien Sampson, DCNPI 1720688476
Title
Owner
Phone
(314) 626-3129

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

112 E Pearce Blvd
Wentzville, MO 63385-1511

Mailing address

112 E Pearce Blvd
Wentzville, MO 63385-1511
Phone (314) 626-3129

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201211000621 MO Part B Supplier - Clinic/Group Practice 8921410192 Receives reassigned benefits from 1 practitioner
Practice locations: Wentzville, MO

National Provider Directory

National Provider Directory

Locations

1023 Main Plaza Dr
Wentzville, MO 63385
Phone (636) 327-3333

112 E Pearce Blvd
Wentzville, MO 63385
Phone (314) 626-3129

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752969600000",
    "number": "1326641135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 E PEARCE BLVD",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633851511",
            "telephone_number": "314-626-3129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E PEARCE BLVD",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633851511",
            "telephone_number": "314-626-3129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMIEN SAMPSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-16",
        "last_updated": "2025-07-20",
        "certification_date": "2025-07-20",
        "status": "A",
        "authorized_official_last_name": "SAMPSON",
        "authorized_official_first_name": "DAMIEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-626-3129",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wentzville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2025; 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.