Individual provider Active NPI

Socheata Pann, OMD

  • Acupuncturist
  • Las Vegas, NV
National Provider Identifier
1972332740
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
2506 Issued in NV
Practice address
1223 S Maryland Pkwy
Las Vegas, NV 89104-1736
Phone
(702) 462-9258
NPI assigned
Jul 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 2506 NV Primary

Addresses

Primary practice location

1223 S Maryland Pkwy
Las Vegas, NV 89104-1736

Mailing address

1713 Park Mesa LN
Las Vegas, NV 89128-2648

Other practice location 1

8630 S Eastern Ave
Las Vegas, NV 89123-2836
Phone (702) 852-1280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2506NVMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Path Acupuncture & Herbal Medicine Acupuncturist PastSince Oct 21, 2025 Accepting new patients
Wongu Health Center Acupuncturist Past Accepting new patients
Wongu Health Center Acupuncturist PastSince Jan 21, 2022 Accepting new patients

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": "1722297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1972332740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 PARK MESA LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891282648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 S MARYLAND PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891041736",
            "telephone_number": "702-462-9258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8630 S Eastern Ave",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891232836",
            "country_code": "US",
            "telephone_number": "702-852-1280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANN",
        "first_name": "SOCHEATA",
        "credential": "OMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NV",
            "license": "2506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.