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

Steven Shane Moore, DPM

Individual provider Podiatrist · NPI 1306101571

Steven Shane Moore, DPM is a Podiatry in Peoria, Arizona. Graduated from Kent State University College of Podiatric Medicine in 2012, 14 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
14
Trained at
Kent State University College of Podiatric Medicine
Licensed in
IN
In the registry since
2012
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

13660 N 94th Dr Ste F1
Peoria, AZ 85381-4232
Phone: (623) 974-0522
Fax: (623) 933-5787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 41000273A (IN)

Record details

NPI number1306101571
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedJuly 12, 2012
Last updated in NPPESDecember 22, 2015
Mailing address13660 N 94th Dr Ste F1, Peoria, AZ 85381-4232

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolKENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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