Shane Moore Dpm PC
Shane Moore Dpm PC is a healthcare organization registered as Foot & Ankle Surgery Podiatrist in Peoria, AZ, holding Type 2 (organization) NPI 1710470950 since 2018. The authorized official on file is Steven Moore, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1710470950 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Shane Moore Dpm PC |
| Practice address | 13660 N 94TH DR STE D1, Peoria, AZ, 85381 |
| Phone | 6239740522 |
| Fax | 6239335787 |
| Enumeration date | 2018-06-12 |
| Last updated in NPPES | 2025-06-20 |
Authorized official
| Name | Steven Moore |
|---|---|
| Title | Owner |
| Phone | 4802419848 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 213ES0103X | Foot & Ankle Surgery Podiatrist | Primary | 0802 | AZ |
Copy-ready billing details
Provider: Shane Moore Dpm PC NPI: 1710470950 Taxonomy: 213ES0103X (Foot & Ankle Surgery Podiatrist) Address: 13660 N 94TH DR STE D1, Peoria, AZ, 85381
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1306118328 | Jeff Thomas | Individual | Foot & Ankle Surgery Podiatrist | Peoria, AZ |
| 1104342781 | Ryan Bangart | Individual | Foot & Ankle Surgery Podiatrist | Peoria, AZ |
| 1982104840 | C.A.R.E. Pharmacy, LLC | Organization | Community/Retail Pharmacy | Peoria, AZ |
| 1710471529 | Jeff Thomas Pllc | Organization | Foot & Ankle Surgery Podiatrist | Peoria, AZ |
| 1417574328 | Ryan Bangart Dpm PC | Organization | Foot & Ankle Surgery Podiatrist | Peoria, AZ |
| 1225883838 | Precision Healthcare Professionals | Organization | Foot & Ankle Surgery Podiatrist | Peoria, AZ |
Verify this record
Cross-check NPI 1710470950 against the authoritative CMS record: view Shane Moore Dpm PC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Shane Moore Dpm PC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-20.