Active NPI
Kevin Moua
- Transportation Broker
- Milwaukee, WI
National Provider Identifier
1750975744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transportation Broker
- Practice address
- 8820 W Mill Rd
Milwaukee, WI 53225-1840 - Phone
- (414) 797-0616
- Fax
- (414) 635-3169
- NPI assigned
- Feb 22, 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 |
|---|---|---|---|---|
| Transportation Broker | 347E00000X | WI | Primary |
Addresses
Primary practice location
8820 W Mill Rd
Milwaukee, WI 53225-1840
Mailing address
8820 W Mill Rd
Milwaukee, WI 53225-1840
Phone (414) 797-0616
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Milwaukee |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613952000000",
"number": "1750975744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8820 W MILL RD",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532251840",
"telephone_number": "414-797-0616",
"fax_number": "414-635-3169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8820 W MILL RD",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532251840",
"telephone_number": "414-797-0616",
"fax_number": "414-635-3169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOUA",
"first_name": "KEVIN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-02-22",
"last_updated": "2021-02-22",
"certification_date": "2021-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "347E00000X",
"taxonomy_group": "",
"desc": "Transportation Broker",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Milwaukee",
"affiliation": "N",
"address_1": "8820 W Mill Rd",
"city": "Milwaukee",
"state": "WI",
"country_code": "US",
"postal_code": "532251840",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.