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

Dr. Clark A Johnson, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1518225929

Dr. Clark A Johnson, DPM is a Podiatry in Meridian, Idaho. Qualified in 2012, 14 years ago. Works from 3 locations and accepts Medicare assignment. Licensed in Colorado and Idaho.

Years since qualifying
14
Licensed in
CO, ID
In the registry since
2012
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

3120 W Belltower Dr Ste 100
Meridian, ID 83646-7744
Phone: (208) 516-3617
Fax: (208) 314-2029
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3676 Parker Blvd, Pueblo, CO 81008-2212 — (719) 553-2200
  • 203 12th Ave Rd, Nampa, ID 83686 — (208) 466-3338

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence P242 (ID)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence POD.0000757 (CO)

Record details

NPI number1518225929
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedApril 24, 2012
Last updated in NPPESFebruary 11, 2020
Certification dateFebruary 11, 2020
Mailing address3120 W Belltower Dr Ste 100, Meridian, ID 83646-7744

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Meridian