OrganizationActive
Arizona Skin Specialists PLLC
NPI 1134165657 · Dermatology Physician · Phoenix, AZ
Provider details
- NPI number
- 1134165657
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Johnson, Owner(602) 482-1300
- License
- 24917 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
16620 N 40th St
Ste I-5
Phoenix, AZ 85032-3348
Phone: (602) 482-1300
Street-level locationGet directions
Mailing address
16620 N 40th St
Phoenix, AZ 85032-3348
Registry dates
- Enumerated
- 2006-06-22
- Last updated
- 2011-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.