Individual provider Active NPI

Christopher Anthony Dominic, DC

  • Chiropractor
  • Portland, OR
National Provider Identifier
1811590409
Registry record updated Aug 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6111 Issued in OR
Practice address
2305 SE Washington St Ste 105
Portland, OR 97222-7647
Phone
(949) 230-5737
NPI assigned
Nov 17, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6111 OR Primary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 35157 CA

Addresses

Primary practice location

2305 SE Washington St Ste 105
Portland, OR 97222-7647

Mailing address

2305 SE Washington St Ste 105
Portland, OR 97222-7647
Phone (949) 230-5737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201215002063 OR Practitioner - Chiropractic 2264844307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunnybrook Chiropractic CorpGroup PAC ID 3577912542, 2 clinicians

Practice addresses (Care Compare)

2305 SE Washington St
Suite 105
Milwaukie, OR 97222-7647
Phone (503) 305-8825

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6111ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sunnybrook Chiropractic Corp Chiropractor CurrentSince May 19, 2025 Accepting new patients

Locations

2305 SE Washington St
Ste 105
Portland, OR 97222
Phone (503) 305-8825

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756598400000",
    "number": "1811590409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 SE WASHINGTON ST STE 105",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972227647",
            "telephone_number": "949-230-5737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 SE WASHINGTON ST STE 105",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972227647",
            "telephone_number": "949-230-5737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINIC",
        "first_name": "CHRISTOPHER",
        "middle_name": "ANTHONY",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-17",
        "last_updated": "2025-08-31",
        "certification_date": "2025-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6111",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "35157",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.