WILLIE SO DC
NPI 1760940555
Chiropractor in Las Vegas, NV
About Willie So Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLIE SO DC (NPI 1760940555) is an individual chiropractor in Las Vegas, Nevada, licensed in Nevada (B01735) and active in the NPI registry since March 2019.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Willie So Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Willie So reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Las Vegas, NV 89183
- Reassigned Medicare billing, Nevada enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Willie So's NPI number?
The NPI number for Willie So is 1760940555. It was assigned to this individual provider in the NPPES registry on March 11, 2019.
Where is Willie So located?
Willie So practices at 1263 E Silverado Ranch Blvd Ste 105A, Las Vegas, NV 89183. The listed phone number is (702) 389-5009.
What is Willie So's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Willie So enrolled in Medicare?
Yes. Willie So is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Willie So's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Willie So reassigns Medicare benefits to Evergrowth Chiropractic LLC (Las Vegas, NV). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Willie So's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Willie So was last updated on August 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Willie So, DC · NPI 1760940555
Chiropractor provider in Las Vegas, Nevada. Individual provider, active in the CMS NPPES registry since March 11, 2019.
## Identity
- **NPI:** 1760940555 (Entity type: Individual)
- **Enumerated:** March 11, 2019
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** B01735 (Nevada)
- **Sole proprietor:** No
## Practice location
- **Address:** 1263 E SILVERADO RANCH BLVD STE 105A, Las Vegas, NV 89183-5946
- **Phone:** (702) 389-5009
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Evergrowth Chiropractic LLC (NPI 1235746140, Las Vegas, NV), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 11, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1760940555) · Data from the CMS NPPES public registry.