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MYDOCKJ
NPI 1407129646
Family Medicine in Scottsdale, AZ

Active since February 20, 2012
8520 E SHEA BLVD, STE 105, SCOTTSDALE, AZ 85260(602) 390-1509 Get Directions Write a Review

NPPES record last updated: February 20, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mydockj NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MYDOCKJ (NPI 1407129646) is a healthcare organization registered as a family medicine in Scottsdale, Arizona and active in the NPI registry since February 2012. The organization lists Kim D Johnson, President, as its authorized official.

NPPES Registry Identity

NPI1407129646
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMYDOCKJ
Location Address8520 E SHEA BLVD, STE 105Scottsdale, AZ 85260-6677
Mailing Address10105 E Via Linda, Ste 103-364Scottsdale, AZ 85258-5311 · (602) 390-1509
Phone(602) 390-1509
Organization SubpartNo
Authorized OfficialKim D JohnsonPresident · (602) 390-1509
Enumeration DateFebruary 20, 2012
✔ NPI 1407129646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 19257
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
8520 E SHEA BLVD, Scottsdale, AZ 85260
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. BROOKE MAYO JAMES FNP-C
Nurse Practitioner (Family)
8520 E SHEA BLVD, SUITE 100
SCOTTSDALE, AZ 85260
Maricopa County (480) 588-6924
KAREN H. CARLIN ANP
Nurse Practitioner (Adult Health)
8520 E SHEA BLVD, STE 100
SCOTTSDALE, AZ 85260
Maricopa County (480) 588-6924

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mydockj's NPI number?

The NPI number for Mydockj is 1407129646. It was assigned to this organization in the NPPES registry on February 20, 2012.

Where is Mydockj located?

Mydockj is located at 8520 E Shea Blvd Ste 105, Scottsdale, AZ 85260. The listed phone number is (602) 390-1509.

What is Mydockj's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mydockj was last updated on February 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.