Poua Pheng Vue, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6300-12 Issued in WI

Practice address

4000 Enterprise Dr
Sheboygan, WI 53083-2245

Phone

(924) 459-9090

NPI assigned

Mar 29, 2025

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

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Creekside Chiropractic and Rehabilitation LTDGroup PAC ID 8921029760, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Creekside Chiropractic and Rehabilitation, LTD.

  • Chiropractor
  • Sheboygan, WI
  • NPI 1801076872
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1743206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743206400000",
    "number": "1700689395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 SAINT CLAIR AVE",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813236",
            "telephone_number": "920-254-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 ENTERPRISE DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530832245",
            "telephone_number": "924-459-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUE",
        "first_name": "POUA PHENG",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-29",
        "last_updated": "2025-03-29",
        "certification_date": "2025-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "6300-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vop Sheboygan LLC (Dimensions Living Sheboygan II)
• Vop Sheboygan LLC (Dimensions Living Sheboygan I)
• Carla Vorpahl, LCSW
• Brent S Voskuil, P.T.A.
• Allison Ann Vreeke
• Melissa Ann Waara, RDH
• Lisa Ann Wachowiak, COTA
• Jessica Ann Wagner, OTR/L
• Jodi Lynn Wagner, OTR
• Lindsay Nicole Wagner, RN

• Chiropractor in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2025; 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.