OrganizationActive
Mydockj
NPI 1407129646 · Family Medicine Physician · Scottsdale, AZ
Mydockj is a Family Medicine Physician organization in Scottsdale, AZ (NPI 1407129646).
Provider details
- NPI number
- 1407129646
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kim Johnson, President(602) 390-1509
- License
- 19257 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
8520 E Shea Blvd
Ste 105
Scottsdale, AZ 85260-6677
Phone: (602) 390-1509
Street-level locationGet directions
Mailing address
10105 E Via Linda
Scottsdale, AZ 85258-5311
Registry dates
- Enumerated
- 2012-02-20
- Last updated
- 2012-02-20
Frequently asked questions
- What is Mydockj's NPI number?
- Mydockj's National Provider Identifier (NPI) is 1407129646, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mydockj?
- Mydockj is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Mydockj located?
- Mydockj's practice location on file with NPPES is 8520 E Shea Blvd, Scottsdale, AZ 85260-6677.
- What is Mydockj's phone number?
- The practice phone number listed in the NPPES registry for Mydockj is (602) 390-1509.
- Who is the authorized official for Mydockj?
- The authorized official listed on Mydockj's NPPES record is Kim Johnson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mydockj's NPI active?
- Yes — Mydockj's NPI (1407129646) is active in the NPPES registry as of the last update on 2012-02-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.