1. Home
  2. Directory
  3. North Dakota
  4. Fargo
  5. Dentist
  6. NPI Profile

DR. MARK A RUNYAN DDS
NPI 1669853263
Dentist - General Practice in Fargo, ND

Active since June 09, 2015PECOS Enrolled
100 4TH ST S STE 312, FARGO, ND 58103(701) 232-2409(701) 232-2563 Get Directions Write a Review

NPPES record last updated: June 9, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark A Runyan Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK A RUNYAN DDS (NPI 1669853263) is an individual general practice provider in Fargo, North Dakota, licensed in North Dakota (2262) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669853263
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARK A RUNYANCredential: DDS
Location Address100 4TH ST S STE 312Fargo, ND 58103-1937
Mailing Address100 4th St S Ste 312Fargo, ND 58103-1937 · (701) 232-2409 · Fax (701) 232-2563
Phone(701) 232-2409
Fax(701) 232-2563
Sole ProprietorNo
Enumeration DateJune 9, 2015
✔ NPI 1669853263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in ND · 2262
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
100 4TH ST S STE 312, Fargo, ND 58103
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark A Runyan Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Runyan's NPI number?

The NPI number for Mark Runyan is 1669853263. It was assigned to this individual provider in the NPPES registry on June 9, 2015.

Where is Mark Runyan located?

Mark Runyan practices at 100 4th St S Ste 312, Fargo, ND 58103. The listed phone number is (701) 232-2409.

What is Mark Runyan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Mark Runyan enrolled in Medicare?

Yes. Mark Runyan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Runyan was last updated on June 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.