Organization Active NPI

Mark a Runyan DDS PLLC

  • General Practice Dentistry
  • Perham, MN
National Provider Identifier
1689464125
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MARK A RUNYAN DDS PLLC
Practice address
900 7TH St SW
Perham, MN 56573
Phone
(218) 346-7700
Fax
(218) 346-5230
NPI assigned
May 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Authorized official

Name
Dr. Mark Anthony Runyan, DDS
Title
President-Owner
Phone
(218) 346-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

900 7TH St SW
Perham, MN 56573

Mailing address

900 7TH St SW
Perham, MN 56573
Phone (218) 346-7700

National Provider Directory

National Provider Directory

Locations

900 7th St SW
Perham, MN 56573
Phone (218) 234-6076

NPI Registry JSON

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

{
    "created_epoch": "1746662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1689464125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 7TH ST SW",
            "city": "PERHAM",
            "state": "MN",
            "postal_code": "56573",
            "telephone_number": "218-346-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 7TH ST SW",
            "city": "PERHAM",
            "state": "MN",
            "postal_code": "56573",
            "telephone_number": "218-346-7700",
            "fax_number": "218-346-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A RUNYAN DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-08",
        "last_updated": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "RUNYAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT-OWNER",
        "authorized_official_telephone_number": "218-346-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perham, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.