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

Tanner Miles Moore, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1144673237

Tanner Miles Moore, DPM is a Podiatry in Wickenburg, Arizona. Graduated from California School of Podiatric Medicine in 2016, 10 years ago. Practices with Foot and Ankle Specialists of Arizona PLLC, a 15-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
10
Trained at
California School of Podiatric Medicine
Licensed in
AZ
In the registry since
2016
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

See every abbreviation used in this directory →

Practice location Address checks out

519 Rose Ln
Wickenburg, AZ 85390-1448
Phone: (602) 675-0478
Fax: (602) 675-0479
Show map & directions

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

Additional practice locations (1)

  • 520 Rose Ln, Wickenburg, AZ 85390-1447 — (760) 613-4402

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence POD-000936 (AZ)

Record details

NPI number1144673237
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJuly 13, 2016
Last updated in NPPESJuly 8, 2021
Certification dateJuly 8, 2021

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolCALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated 2016 (10 years in practice)
Group practice Foot And Ankle Specialists Of Arizona Pllc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount