Active NPI
Paul W Deschamp, DC
- Chiropractor
- Wentzville, MO
National Provider Identifier
1609959097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 003417
- Practice address
- 508 West Pearce
Wentzville, MO 63385-1328 - Phone
- (636) 327-8844
- Fax
- (636) 327-8844
- NPI assigned
- Oct 23, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 003417 | MO | Primary |
Addresses
Primary practice location
508 West Pearce
Wentzville, MO 63385-1328
Mailing address
508 West Pearce
Wentzville, MO 63385-1328
Phone (636) 327-8844
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5594 | Other | MO | BLUE CROSS |
| 34487 | Other | MO | PNCS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1968
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
508 W Pearce Blvd
Wentzville, MO 63385-1328
Phone (636) 327-8844
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003417 | MO | MD | Chiropractor |
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": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788048000000",
"number": "1609959097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 WEST PEARCE",
"city": "WENTZVILLE",
"state": "MO",
"postal_code": "633851328",
"telephone_number": "636-327-8844",
"fax_number": "636-327-8844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 WEST PEARCE",
"city": "WENTZVILLE",
"state": "MO",
"postal_code": "633851328",
"telephone_number": "636-327-8844",
"fax_number": "636-327-8844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESCHAMP",
"first_name": "PAUL",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2026-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "003417",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "5594",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PNCS",
"identifier": "34487",
"state": "MO"
}
],
"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 Aug 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.