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

Dr. Ryan Tyler Johnson, DPM

Individual provider Podiatrist · NPI 1265059042

Dr. Ryan Tyler Johnson, DPM is a Podiatry in Boise, Idaho. Graduated from Barry University School of Podiatric Medicine in 2020, 6 years ago. Accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
6
Trained at
Barry University School of Podiatric Medicine
Licensed in
ID
In the registry since
2020
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

900 N Liberty St Ste 306
Boise, ID 83704-8729
Phone: (208) 367-7887
Fax: (208) 367-7888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence P277 (ID)

Record details

NPI number1265059042
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJune 29, 2020
Last updated in NPPESApril 8, 2025
Certification dateApril 8, 2025
Mailing address900 N Liberty St Ste 306, Boise, ID 83704-8729

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolBARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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