DRS Kanyusik Wiemers & Runck PA

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

DRS KANYUSIK WIEMERS & RUNCK PA

Practice address

120 E Main St
Mankato, MN 56001-3501

Phone

(507) 388-2989

Fax

(507) 388-2985

NPI assigned

Nov 3, 2005

Organization subpart

No

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

Authorized official

Name

Dr. John S Kanyusik, DDS MS

Title

Owner Partner President

Phone

(507) 388-2989

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528059979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E MAIN ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013501",
            "telephone_number": "507-388-2989",
            "fax_number": "507-388-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E MAIN ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013501",
            "telephone_number": "507-388-2989",
            "fax_number": "507-388-2985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS KANYUSIK WIEMERS & RUNCK PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KANYUSIK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER PARTNER PRESIDENT",
        "authorized_official_telephone_number": "507-388-2989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Doyle
• Jenna Marie Doyle, PA-C
• Elizabeth Drake, EDD, LAT, ATC
• Dawn Allison Dreyer, RN
• Jodi Lynn Dreyer, RN, CNP
• Olivia Marquea Drummer, OTR/L
• Crisstill Ann Duaso, RDH
• Crystal Marie Dubbelde, MSW, LISCW
• Garrett Duffin, PT, DPT
• Angela Emerick Dugan, PSY.D. LP

• Orthodontics and Dentofacial Orthopedics Dentistry in Mankato, MN
• Providers in Mankato, MN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.