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SHANE MOORE DPM PC
NPI 1710470950
Podiatrist - Foot & Ankle Surgery in Peoria, AZ

Active since June 12, 2018
13660 N 94TH DR STE D1, PEORIA, AZ 85381(623) 974-0522(623) 933-5787 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2025, Jun 12, 2018 (2 updates tracked since 2018).

About Shane Moore Dpm Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANE MOORE DPM PC (NPI 1710470950) is a healthcare organization registered as a foot & ankle surgery in Peoria, Arizona and active in the NPI registry since June 2018. The organization maintains a secondary practice location in Wickenburg and lists Steven Shane Moore, Owner, as its authorized official.

NPPES Registry Identity

NPI1710470950
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameSHANE MOORE DPM PC
Location Address13660 N 94TH DR STE D1Peoria, AZ 85381-4275
Mailing Address13660 N 94th Dr Ste F1Peoria, AZ 85381-4232 · (623) 974-0522 · Fax (623) 933-5787
Phone(623) 974-0522
Fax(623) 933-5787
Organization SubpartNo
Authorized OfficialSteven Shane MooreOwner · (480) 241-9848
Enumeration DateJune 12, 2018
Last NPPES UpdateJune 20, 20252 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
✔ NPI 1710470950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in AZ · 0802
13660 N 94TH DR STE D1, Peoria, AZ 85381
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Secondary Practice Location 1

Location 1490 W Bralliar RdWickenburg, AZ 85390-2448 · Phone (623) 974-0522

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RYAN DANIEL BANGART DPM
Podiatrist (Foot & Ankle Surgery)
13660 N 94TH DR STE D1
PEORIA, AZ 85381
Maricopa County (623) 974-0522
PRECISION HEALTHCARE PROFESSIONALS
Podiatrist (Foot & Ankle Surgery)
13660 N 94TH DR STE D1
PEORIA, AZ 85381
Maricopa County (623) 512-1633
JEFF THOMAS
Podiatrist (Foot & Ankle Surgery)
13660 N 94TH DR STE D1
PEORIA, AZ 85381
Maricopa County (623) 974-0522
RYAN BANGART DPM PC
Podiatrist (Foot & Ankle Surgery)
13660 N 94TH DR STE D1
PEORIA, AZ 85381
Maricopa County (623) 974-0522
JEFF THOMAS PLLC
Podiatrist (Foot & Ankle Surgery)
13660 N 94TH DR STE D1
PEORIA, AZ 85381
Maricopa County (623) 974-0522
C.A.R.E. PHARMACY, LLC
Pharmacy (Community/Retail Pharmacy)
13660 N 94TH DR STE D1
PEORIA, AZ 85381
Maricopa County (623) 974-0522

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 Shane Moore Dpm PC's NPI number?

The NPI number for Shane Moore Dpm PC is 1710470950. It was assigned to this organization in the NPPES registry on June 12, 2018.

Where is Shane Moore Dpm PC located?

Shane Moore Dpm PC is located at 13660 N 94th Dr Ste D1, Peoria, AZ 85381. The listed phone number is (623) 974-0522.

What is Shane Moore Dpm PC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Shane Moore Dpm PC was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.