Jill M. Moore, MD

Dermatology Physician · Minneapolis, MN

Individual Active NPI

NPI number 1922260413

Practice location

275 Market St Ste 215
Minneapolis, MN 55405-1623
Phone
(612) 746-4144
Fax
(612) 746-4149

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NPI record

NPI
1922260413
Entity type
Individual (Type 1)
Enumeration date
June 26, 2008
Last updated
September 4, 2026
Certified
September 4, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dermatology Physician Primary 207N00000X 75778 MN
Dermatology Physician 207N00000X MD126318 OR

Other practice locations (1)

  • 250 Central Ave N, Wayzata, MN 55391-1206 · (952) 993-8250

About Dr. Moore

Jill M. Moore, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Dermatology Physician (code 207N00000X). The practice location is 275 Market St Ste 215, Minneapolis, MN 55405-1623. The NPI number 1922260413 was assigned on June 26, 2008 and the record was last updated on September 4, 2026.

Dr. Moore lists 2 licenses in the registry: #75778 (MN) for Dermatology Physician; #MD126318 (OR) for Dermatology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jill M. Moore, MD?

The NPI number is 1922260413.

What is the phone number of Dr. Moore?

The phone number listed for the practice location is (612) 746-4144.

Where is Dr. Moore located?

275 Market St Ste 215, Minneapolis, MN 55405-1623.

What is the taxonomy code for Dr. Moore?

The primary taxonomy code is 207N00000X – Dermatology Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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