Shane Moore DPM PC
NPI 1710470950 · Foot & Ankle Surgery Podiatrist · Peoria, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shane Moore DPM PC is a Foot & Ankle Surgery Podiatrist organization in Peoria, AZ (NPI 1710470950).
Provider details
- NPI number
- 1710470950
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Steven Moore, Owner(480) 241-9848
- License
- 0802 (AZ)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 490 W Bralliar RdWickenburg, AZ 85390-2448Phone: (623) 974-0522
Registry dates
- Enumerated
- 2018-06-12
- Last updated
- 2025-06-20
- Certified
- 2025-06-20
Frequently asked questions
- What is Shane Moore DPM PC's NPI number?
- Shane Moore DPM PC's National Provider Identifier (NPI) is 1710470950, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shane Moore DPM PC?
- Shane Moore DPM PC is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Shane Moore DPM PC located?
- Shane Moore DPM PC's practice location on file with NPPES is 13660 N 94th Dr Ste D1, Peoria, AZ 85381-4275.
- What is Shane Moore DPM PC's phone number?
- The practice phone number listed in the NPPES registry for Shane Moore DPM PC is (623) 974-0522.
- Does Shane Moore DPM PC accept Medicare?
- Shane Moore DPM PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Shane Moore DPM PC?
- The authorized official listed on Shane Moore DPM PC's NPPES record is Steven Moore, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shane Moore DPM PC's NPI active?
- Yes — Shane Moore DPM PC's NPI (1710470950) is active in the NPPES registry as of the last update on 2025-06-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.