Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Matthew Christopher Johnson, MD

Individual provider Dermatology Physician · NPI 1679157630

Dr. Matthew Christopher Johnson, MD is a Dermatology in Fargo, North Dakota. Qualified in 2021, 5 years ago. Practices with Sanford Medical Center Fargo, a 1,212-clinician group and accepts Medicare assignment. Licensed in North Carolina and North Dakota.

Years since qualifying
5
Licensed in
NC, ND
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4656 40th Ave S Ste 130
Fargo, ND 58104-4397
Phone: (701) 234-8860
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 2023-01305 (NC)
Dermatology Physician Taxonomy 207N00000X · Licence 22670 (ND)

Record details

NPI number1679157630
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 6, 2021
Last updated in NPPESSeptember 24, 2025
Certification dateSeptember 24, 2025
Mailing addressPo Box 5074, Sioux Falls, SD 57117-5074

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Sanford Medical Center Fargo — 1212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fargo