Willie So, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

B01735 Issued in NV

Practice address

1263 E Silverado Ranch Blvd Ste 105a
Las Vegas, NV 89183-5946

Phone

(702) 389-5009

NPI assigned

Mar 11, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Evergrowth Chiropractic LLC

  • Chiropractor
  • Las Vegas, NV
  • NPI 1235746140
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1760940555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10725 ACKERS DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890528696",
            "telephone_number": "702-335-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1263 E SILVERADO RANCH BLVD STE 105A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891835946",
            "telephone_number": "702-389-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SO",
        "first_name": "WILLIE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B01735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "drwill@evergrowthchiro.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Encrypted E-mail",
            "address_1": "1263 E Silverado Ranch Blvd Ste 105A",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891835946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andy So
• DO So, MD
• Kevin Hoi-Man So, PHARMD, RPH
• Lilian So, OD
• Stasia So
• Millennium So'Otaga
• Soar Behavior Services Nevada LLC
• Soar LLC
• Soar LLC
• Arnette Soares

• 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 Aug 11, 2020; 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.