Healthcare Provider Details

I. General information

NPI: 1174587034
Provider Name (Legal Business Name): JOYCE MOORE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2006
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10103 RIDGEGATE PKWY STE 350
LONE TREE CO
80124-5525
US

IV. Provider business mailing address

7951 E MAPLEWOOD AVE STE 350
GREENWOOD VILLAGE CO
80111-4758
US

V. Phone/Fax

Practice location:
  • Phone: 303-320-7826
  • Fax: 303-320-7842
Mailing address:
  • Phone: 303-930-7895
  • Fax: 832-601-6018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number33282
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberDR.0033282
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: