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1164316634 NPI number — MELISSA RAFULS DMD

NPI Number: 1164316634
Health Care Provider/Practitioner: MELISSA RAFULS DMD

Information about “1164316634” NPI (MELISSA RAFULS DMD) exists in 1164316634 in HTML format HTML  |  1164316634 in plain Text format TXT  |  1164316634 in PDF (Portable Document Format) PDF  |  1164316634 in an XML format XML  formats.

NPI Number : 1164316634 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1164316634",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RAFULS",
    "FirstName": "MELISSA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "RAFULS",
    "OtherFirstName": "ORQUIDEA",
    "OtherMiddleName": "NELIZA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2510 N HENDERSON DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GARDEN CITY",
    "MailingAddressStateName": "KS",
    "MailingAddressPostalCode": "67846-3624",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "620-272-0570",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2510 HENDERSON DRIVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GARDEN CITY",
    "PracticeLocationAddressStateName": "KS",
    "PracticeLocationAddressPostalCode": "67846",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "620-272-0570",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/07/2025",
    "LastUpdateDate": "09/17/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223G0001X",
        "TaxonomyName": "General Practice Dentistry",
        "LicenseNumber": "62322",
        "LicenseNumberStateCode": "KS",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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