Hanysak Orthodontics PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

HANYSAK ORTHODONTICS PLLC

Practice address

9108 Jordan Lane Ste 602
Waco, TX 76712

Phone

(254) 640-1107

NPI assigned

May 15, 2025

Last updated

May 15, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly L Hanysak, DDS MSNPI 1124188289

Title

Orthodontist

Phone

(254) 640-1107

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly Hanysak

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Antonio, TX
  • NPI 1124188289
  NPD Authorized official

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

{
    "created_epoch": "1747267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1184415473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7040 FLAGSTONE CIR",
            "city": "MCGREGOR",
            "state": "TX",
            "postal_code": "766574123",
            "telephone_number": "254-640-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9108 JORDAN LANE STE 602",
            "city": "WACO",
            "state": "TX",
            "postal_code": "76712",
            "telephone_number": "254-640-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANYSAK ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "HANYSAK",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "254-640-1107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Mark Hannemann, RPH
• Alyssa Catherine Hannig
• Cynthia Hannigan, LPC
• Emma Hanson
• Katrina Ann Hanson
• Christopher Charles Happel, MD
• Happy Health and Wellness of America PA LLC
• Happy Health Functional Medicine PLLC
• Harbor Home Health LP
• Harbor Hospice of Waco LP

• Orthodontics and Dentofacial Orthopedics Dentistry in Waco, TX
• Providers in Waco, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.