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

Dr. Jordan A Moore, MD

Individual provider Dermatology Physician · NPI 1013992619

Dr. Jordan A Moore, MD is a Dermatology Physician in Whitefish Bay, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

121 E Silver Spring Dr
Whitefish Bay, WI 53217-4702
Phone: (414) 964-9030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 26687 (WI)

Record details

NPI number1013992619
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 7, 2005
Last updated in NPPESFebruary 18, 2016
Mailing address121 E Silver Spring Dr, Whitefish Bay, WI 53217-4702

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