Provider Type Icon

DENNIS W RUNCK MD NPI 1285613091


NPI Information

NPI: 1285613091
Provider Name: DENNIS W RUNCK, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
85 AMBER LILLY DRIVE
BIG SKY, MT
ZIP 59716
Phone: (651) 292-2000
Get Directions

Dennis W Runck, MD is a diagnostic radiology radiology in Big Sky, MT. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Dennis W Runck, MD NPI is 1285613091. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

85 AMBER LILLY DRIVE
BIG SKY, MT
ZIP 59716-715
Phone: (651) 292-2000
Fax: (651) 292-2178

The NPI 1285613091 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 1/10/2006 and was last updated on 9/12/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic Radiology31004MINNESOTANo
22085R0202XRadiologyDiagnostic Radiology10839MONTANAYes
32085R0202XRadiologyDiagnostic Radiology10010NORTH DAKOTANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1259305000MEDICAIDMINNESOTA
2940000022MEDICARE ID-TYPE UNSPECIFIEDMINNESOTA
3E51051MEDICARE UPINMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.