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Your Trusted Medical Care Partner in Dakota Dunes
The Center for Neurosciences, Orthopaedics, & Spine (CNOS) is a community-focused healthcare organization dedicated to improving the health of those we serve. Our multidisciplinary team of physicians and professionals provides personalized care across specialties including orthopaedics, neurology, surgery, and rehabilitation. Founded on principles of trust and excellence, we prioritize patient-centered care and strive to exceed expectations through continuous quality improvement. Our team combines clinical expertise with compassionate service to address diverse healthcare needs. With locations across Iowa, Nebraska, and South Dakota, we bring reliable care close to home.We are committed to innovation, community engagement, and ethical practices that support long-term health outcomes. Our leadership team fosters a culture of collaboration, ensuring patients receive comprehensive care from dedicated professionals. We measure success through patient satisfaction, clinical excellence, and our contributions to community well-being. CNOS remains focused on advancing healthcare delivery while maintaining accessibility and affordability. Our mission drives every decision, ensuring patients receive the highest standard of care.
Services
Orthopaedics
Neurology
Physical Therapy
Dermatology
General Surgery
Occupational Therapy
Speech Therapy
Sports Medicine
Imaging Services
Weight Loss Surgery
Highlights and features
- We offer personalized care from multidisciplinary specialists across 28 locations.
- Our team includes nationally recognized physicians with expertise in complex conditions.
- We prioritize patient education and collaborative treatment decision-making.
- Our facilities integrate advanced technology with compassionate care delivery.
- We maintain active community partnerships to improve regional healthcare access.
What people say
Thorough consultations
Compassionate care
Positive treatment outcomes
Knowledgeable staff
Efficient service
Services
Orthopaedic Care
Our orthopaedic specialists diagnose and treat musculoskeletal conditions using advanced techniques. We offer joint replacement, sports medicine, and trauma care with personalized rehabilitation plans. Patients benefit from minimally invasive procedures and comprehensive post-operative support.
Neurological Services
We provide comprehensive treatment for neurological disorders including epilepsy, Parkinson's disease, and stroke recovery. Our neurologists use cutting-edge diagnostics and tailored treatment plans to improve patient outcomes through both medical and rehabilitative approaches.
Physical Therapy
Our physical therapists develop customized rehabilitation programs for injury recovery and chronic condition management. Using evidence-based techniques, we focus on restoring mobility, reducing pain, and preventing future injuries through hands-on care and patient education.
Dermatology
We offer medical and cosmetic dermatology services addressing skin conditions, cancer screenings, and aesthetic treatments. Our board-certified dermatologists provide comprehensive care from routine check-ups to advanced skin cancer treatments using the latest technologies.
General Surgery
Our general surgeons perform a wide range of procedures with a focus on patient safety and optimal outcomes. Services include abdominal surgeries, hernia repairs, and treatment for complex conditions using both traditional and minimally invasive techniques.
People
Nolan Lubarski
CEO
Nolan Lubarski leads CNOS with a focus on community healthcare improvement. He brings extensive healthcare administration experience and a commitment to expanding accessible, high-quality medical services across the region.
Dr. Kelly Delaney-Nelson
Rheumatology
Dr. Delaney-Nelson specializes in rheumatology with a patient-centered approach. She focuses on autoimmune disorders and musculoskeletal conditions, emphasizing thorough evaluation and personalized treatment plans for chronic disease management.
Dr. Quentin Durward
Neurosurgeon
Dr. Durward provides expert neurosurgical care with emphasis on conservative treatment options. He specializes in complex spinal procedures and brain surgeries, prioritizing patient education and evidence-based decision-making.
Dr. Joseph Carreau
Orthopaedic Surgeon
Dr. Carreau specializes in orthopaedic surgery with expertise in joint preservation and replacement. He focuses on sports-related injuries and degenerative conditions, combining surgical precision with comprehensive rehabilitation strategies.
Dr. Raymond Kuwahara
Dermatologist
Dr. Kuwahara offers comprehensive dermatological care including skin cancer detection and cosmetic treatments. He emphasizes preventive care and employs advanced techniques for both medical and aesthetic skin concerns.
Questions
What specialties does CNOS offer?
CNOS provides care in orthopaedics, neurology, dermatology, general surgery, physical therapy, and 10+ additional specialties through board-certified physicians.
How can I schedule an appointment?
Schedule online through our patient portal or contact our Dakota Dunes clinic directly at 605-217-2667 during business hours.
Do you accept my insurance?
Our team verifies insurance coverage and assists with pre-authorizations. Contact us directly to confirm your specific plan details.
Are urgent care services available?
Orthopaedic urgent care is available Monday-Friday 7am-3:45pm for non-life-threatening injuries requiring immediate attention.
What locations serve my area?
CNOS operates 28 locations across Iowa, Nebraska, and South Dakota. Use our online locator to find the nearest clinic.
How do I access medical records?
Request records through our secure patient portal or contact the specific clinic where you received treatment for assistance.
Videos
Reviews (7)
TRose S.
Jun 17, 2022
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Went in to see Doctor Sorensen, the first time was great. The second time I was in so much pain I couldn't sit. After waiting for a week to get in the head nurse claimed they had trouble with my insurance and said I'd have to wait another week to get treated and that the doctor already left. I grabbed my insurance card and called them. There was no inquiry on their end so I handed my phone over to the nurse who was trying to send me away for another week.
I over heard her saying they were real busy and didn't have time to do a back up call over the phone (mind you I'm still standing there in pain and began to cry) Amy M had no sympathy! My husband came in and saw me crying and became angry. Dr Lukken came out of the office and saw my dilemma and agreed to treat me. It was fast and so painful I screamed and I swear I heard the two nurses that was helping him giggle. It was a humiliating experience! My pain has subsided but don't know if it was worth the humiliation. I know their job is stressful, but that was totally uncalled for.
I over heard her saying they were real busy and didn't have time to do a back up call over the phone (mind you I'm still standing there in pain and began to cry) Amy M had no sympathy! My husband came in and saw me crying and became angry. Dr Lukken came out of the office and saw my dilemma and agreed to treat me. It was fast and so painful I screamed and I swear I heard the two nurses that was helping him giggle. It was a humiliating experience! My pain has subsided but don't know if it was worth the humiliation. I know their job is stressful, but that was totally uncalled for.
Talisa Reynolds
Jun 17, 2022
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Urgent care was so fast, and good about helping my daughter today. I wanna thank Trae Bergh, PA for fixing my daughters arm, and being so nice to us. Thank you CNOS.
Jason Courtney
Jun 17, 2022
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There's not much more that I can say than Dr. Samuelson is awesome! Understanding, listens and I can tell he actually cares about his patients!
Rebecca Illg
May 22, 2022
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I would give an 11 if I could. You guys are the best care I have ever received. My ankle feels practically brand new. Mayo said amputation and your team of nurses, surgical staff, Dr. Phisitkul, and the schedulers all got me in and fixed. I have feeling in my foot again. I have feeling in parts of my foot I never thought I'd ever feel again. Most importantly I still have my foot which before finding doctor phisitkul seemed impossible.
My foot has never felt better. In fact the last time I remember not feeling pain before doctor p fixed it was 4 years ago. After 4 different surgeries I got referred to the doctor who made the pain go away. I'm forever grateful.
My foot has never felt better. In fact the last time I remember not feeling pain before doctor p fixed it was 4 years ago. After 4 different surgeries I got referred to the doctor who made the pain go away. I'm forever grateful.
Avery Gilreath
Apr 25, 2022
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I had a very informative appointment. Dr Ray Kuwahara and his nurse were so kind and caring with my comfort. Also took the time to guarantee I understand everything to do with my treatment and possible future needs. I will definitely recommend this office. Thank you for all of your kindness from the front office to the back.
Bonnie Bentley
Feb 23, 2022
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Dr. Samuelson, you really surprised me as a physician. When you no longer wanted to see me, could you not call me. Yes, I went into your office with a problem, had test you ordered which were not comfortable. If you thought the tests really didn't show anything, why didn't you speak up. Yes I still have the same pains as before, being Catholic, I will offer the pain for the poor souls in purgatory. Oh, the pain is real and not something I made up. Well Dr. Samuelson, I hope the Good Lord looks after your practice and the patients you care for. God Bless.
James Thompson
Oct 10, 2021
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Have had 2 of my children seen by Dr Meyers and Dr Bissell. Both did amazing for them. Unfortunately on our most recent visit we cannot get nurses to return phone calls on days dr was in building and when Dr is not they get attitude. Was very appreciative of the numerology side getting our child in when they are very booked but was told results were a will call and never heard from them. Wait 3 days to call in and was told everything came back normal and will talk to Dr about releasing patient only to never get a call back. Very frustrating when dealing with young athletes to be told everything looks fine but cannot get info needed to return them to a sport they love
