DR. CHRISTIAN L JOHNSON (DC) – Chiropractor, NPI 1720586340

DR. CHRISTIAN L JOHNSON (DC) is a healthcare provider. based in Portland, Oregon. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. 5882 (OR). The NPI Number for DR. CHRISTIAN L JOHNSON (DC) is 1720586340

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHRISTIAN L JOHNSON (DC)
NPI
1720586340
Phone
(503) 213-9990
Address
3804 SE Belmont St
Enumeration Date
29 January 2018
Last Update Date
3 July 2025

Doctor Profile

Medical School Name
WESTERN STATES COLLEGE OF CHIROPRACTIC
Secondary Phone
5036685822
Graduation Year
2017 (9 years ago)
PAC ID
2668735374
Group Practice PAC ID
9335451780
Professional Enrollment ID
I20180411000914
Address ID
OR970558060SA17500AVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Digital endpointsOther names

709 CHIROPRACTIC in OR

Provider Addresses for DR. CHRISTIAN L JOHNSON (DC)

  • 3804 SE Belmont St

    Portland, OR 972144330

    Phone: (503) 213-9990

    Type: Location

  • 437 NE Main St

    Estacada, OR 970238528

    Phone: (503) 630-4037

    Fax: (503) 630-5636

    Type: Location

  • Northeast Sandy Boulevard, Fairview, Metro, Multnomah County, Oregon, 97024, United States

    FAIRVIEW, OR 970249758

    Phone:

    Type: Mailing

  • 17500, Strauss Avenue, Sandy, Clackamas County, Oregon, 97055, United States

    SANDY, OR 970558060

    Phone: (503) 668-5822

    Fax: (503) 668-3662

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-04-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180411000914IChiropracticORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97214)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335451780View full group profile
NameSpecialtyState
-OR
C H I R O P R A C T I COR
C H I R O P R A C T I COR

Reviews

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Frequently asked questions

How do I look up DR. CHRISTIAN L JOHNSON (DC) by NPI?
Use NPI 1720586340 when you need to reference DR. CHRISTIAN L JOHNSON (DC) in forms, claims, or directories.
Does this profile mean DR. CHRISTIAN L JOHNSON (DC) is currently active?
Yes — DR. CHRISTIAN L JOHNSON (DC) appears active in the national provider directory.
What kind of provider is DR. CHRISTIAN L JOHNSON (DC)?
The page reflects Chiropractor for DR. CHRISTIAN L JOHNSON (DC). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. CHRISTIAN L JOHNSON (DC)?
The page summarizes Portland, Oregon for DR. CHRISTIAN L JOHNSON (DC); expand the address list for detail.
How can I contact DR. CHRISTIAN L JOHNSON (DC)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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