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Mark S Moore, DO

Diagnostic Radiology Physician in Pueblo, CO · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1457465429

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Registry record

Entity type Individual (Type 1)
Name Mark S Moore
Credential DO
Sex Male
Practice address 1008 Minnequa Ave, Pueblo, CO, 81004
Fax (970) 342-2093
Enumeration date Aug 18, 2006
Last updated in NPPES Nov 5, 2020

Taxonomy & licenses

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License 112240 (MO) Primary
DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier Type State Issuer
100180650B Other - OK CAID
100343220A Other - KS CAID
83787844 Medicaid CO -
451258 Other - HLTLINK
115634 Other - MO BLUE
112240 Other MO MEDICAL LICENSE
248699902 Medicaid MO -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Mark Moore practice?
The practice location on file with NPPES is in Pueblo, CO. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Mark Moore?
The National Provider Identifier (NPI) for Mark Moore is 1457465429, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-11-05.