P Praxis·MD
● Active Type 1 · Individual

DR. Joseph Reed Moore, M.D.

Pediatrics·Ammon, ID· NPI 1760476469 · Enumerated 2005 · 20 years on NPI
Moore is 1 of 4 pediatrics providers in Ammon and 1 of 252 in Idaho.
NPI age
20 years
Enumerated 2005-09-08
Primary specialty
Pediatrics
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-11-19
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 252 active pediatrics providers in Idaho.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
27% of peers hold multiple states
Subspecialties
0
34% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-09Enumerated in NPPES
2005 2026

Where they practice

Practice location
3067 Eagle Dr
Ammon, ID 834061273
📞 2085224600fax 2085527521
Mailing address
3067 Eagle Dr
Ammon, ID 834061273
📞 2085224600fax 2085527521

Specialties

  • Pediatrics Primary
    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
    ID license #M-9074 taxonomy 208000000X

Identifiers

TypeValueNotes
01 (ID) 000010147395 BLUE SHIELD
05 (ID) 806922100
01 (ID) 70896 BLUE CROSS

Practice context

Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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