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

Dr. Cory A Johnson, DPM

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1730665837

Dr. Cory A Johnson, DPM is a Podiatry in Coeur D Alene, Idaho. Qualified in 2021, 5 years ago. Practices with Cory Johnson, a 2-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
5
Licensed in
ID
In the registry since
2018
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

850 W Ironwood Dr Ste 301
Coeur D Alene, ID 83814-4903
Phone: (208) 667-9762
Fax: (208) 765-1041
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence P-263 (ID)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1730665837
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedJuly 12, 2018
Last updated in NPPESSeptember 23, 2021
Certification dateSeptember 23, 2021

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Cory Johnson — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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