Individual provider Active NPI

Paul B Schirmer, DC

  • Chiropractor
  • Chesapeake, VA
National Provider Identifier
1639109606
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556352 Issued in VA
Practice address
4628 Portsmouth Blvd
Chesapeake, VA 23321
Phone
(757) 673-8840
Fax
(757) 673-8861
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X VA
Chiropractor 111N00000X 0104556352 VA Primary
Physical Therapy Clinic/Center 261QP2000X VA

Addresses

Primary practice location

4628 Portsmouth Blvd
Chesapeake, VA 23321

Mailing address

4628 Portsmouth Blvd
Chesapeake, VA 23321-2106
Phone (757) 673-8840

Other identifiers 3

IdentifierTypeStateIssuer
193664OtherVAANTHEM
388104OtherVAANTHEM
83-0440556OtherVASTATE ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120508000693 VA Practitioner - Chiropractic 4981688686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4628 Portsmouth Blvd
Chesapeake, VA 23321-2106
Phone (757) 673-8840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
PS &TW, Inc. Chiropractor CurrentSince Feb 27, 2012 Accepting new patients
CPCJ Inc Current Accepting new patients
T and P Inc Sports Med Chiropractor PastSince Feb 27, 2012 Accepting new patients

Locations

4628 Portsmouth Blvd
Chesapeake, VA 23321
Phone (757) 673-8840

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1639109606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4628 PORTSMOUTH BLVD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233212106",
            "telephone_number": "757-673-8840",
            "fax_number": "757-673-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4628 PORTSMOUTH BLVD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "23321",
            "telephone_number": "757-673-8840",
            "fax_number": "757-673-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIRMER",
        "first_name": "PAUL",
        "middle_name": "B",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556352",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "VA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "193664",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "388104",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID",
            "identifier": "83-0440556",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.

Verify at the official NPI Registry.