Mehran Soudbakhsh, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

B716 Issued in NV

Practice address

4325 N Rancho Dr
#150
Las Vegas, NV 89130-3438

Phone

(702) 658-1681

Fax

(702) 737-6390

NPI assigned

Sep 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Mehran Soudbakhsh Other name

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1997

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• UT PPO D-SNP
• UT PPO

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1013016674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7509 FENCEROW ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891314546",
            "telephone_number": "702-658-1681",
            "fax_number": "702-737-6390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 N RANCHO DR",
            "address_2": "#150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303438",
            "telephone_number": "702-658-1681",
            "fax_number": "702-737-6390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUDBAKHSH",
        "first_name": "MEHRAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3602012",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEHRAN",
            "last_name": "SOUDBAKHSH",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Fedelita Sotto, LSW
• Robert Soucy, LPC, LCPC, LPCC
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• Steven Souder
• Tiffany Souksengdao
• Soul Journey LLC
• Soul Purpose Sober Living LLC
• Emad Soumi, M.D.

• Chiropractor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Chiropractor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.