# DR. MATTHEW EDWARD MOORE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1215233440
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | DR.0062786 | CO | Yes |
| 208D00000X | General Practice Physician | 02004259A | IN | — |

## Other

- **Enumeration date:** 02/05/2011
- **Last updated:** 09/24/2026