Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shane Moore DPM PC

Organization Foot & Ankle Surgery Podiatrist · NPI 1710470950

Shane Moore DPM PC is a Foot & Ankle Surgery Podiatrist in Peoria, Arizona. Works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2018
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

13660 N 94th Dr Ste D1
Peoria, AZ 85381-4275
Phone: (623) 974-0522
Fax: (623) 933-5787
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 490 W Bralliar Rd, Wickenburg, AZ 85390-2448 — (623) 974-0522

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 0802 (AZ)

Record details

NPI number1710470950
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steven Moore — Owner · (480) 241-9848
NPI enumeratedJune 12, 2018
Last updated in NPPESJune 20, 2025
Certification dateJune 20, 2025
Mailing address13660 N 94th Dr Ste F1, Peoria, AZ 85381-4232

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