Active NPI
Chia Moua, DC
- Chiropractor
- Ashwaubenon, WI
National Provider Identifier
1669140968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5626-12
- Practice address
- 926 Willard Dr Ste 218
Ashwaubenon, WI 54304-5071 - Phone
- (920) 316-1103
- NPI assigned
- Sep 1, 2021
- Last updated
- Sep 1, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5626-12 | WI | Primary |
Addresses
Primary practice location
926 Willard Dr Ste 218
Ashwaubenon, WI 54304-5071
Mailing address
1118 Pilgrim Way Apt C
Ashwaubenon, WI 54304-5833
Phone (920) 254-0227
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5626-12 | WI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630454400000",
"number": "1669140968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1118 PILGRIM WAY APT C",
"city": "ASHWAUBENON",
"state": "WI",
"postal_code": "543045833",
"telephone_number": "920-254-0227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "926 WILLARD DR STE 218",
"city": "ASHWAUBENON",
"state": "WI",
"postal_code": "543045071",
"telephone_number": "920-316-1103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOUA",
"first_name": "CHIA",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-01",
"last_updated": "2021-09-01",
"certification_date": "2021-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "5626-12",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashwaubenon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.