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NPISignal

Individual Healthcare Provider

Justin Graham Dockendorf, MD

NPI Record: ActiveEmergency Medicine
NPI1619070414
Yukon, Oklahoma

Provider's NPPES record last updated: December 18, 2025

Overview

Entity Type
Individual Healthcare Provider
NPI
1619070414
Primary Specialty
Emergency Medicine
Practice Location
Yukon, Oklahoma
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 21, 2026, 10:19 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Emergency Medicine

    Allopathic & Osteopathic Physicians

    Primary

    An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

    Taxonomy code 207P00000X

Provider-Reported License Information

Emergency Medicine (Oklahoma)
23662
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

709 N Czech Hall Rd

Yukon, Oklahoma 73099-7897

Phone: (405) 494-8600

Additional Practice Location

3100 Dutch Forest Ln

Edmond, Oklahoma 73013-7577

Phone: (405) 706-3019

Additional Practice Location

3025 Sw 104th St

Oklahoma City, Oklahoma 73159-7036

Phone: (405) 300-7740

Fax: (405) 300-7731

Record Information

Enumeration Date
September 7, 2006
Provider's NPPES Record Last Updated
December 18, 2025
Certification Date
December 18, 2025
NPISignal NPPES Dataset
August 2026

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