Individual provider Active NPI

Mark Howard Ruliffson, DDS

  • General Practice Dentistry
  • Ft. Riley, KS
National Provider Identifier
1083798292
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5191 Issued in KS
Practice address
600 Caisson Hill Road
Ft. Riley, KS 66442-5043
Phone
(785) 239-7241
Fax
(785) 239-7245
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5191 KS Primary

Addresses

Primary practice location

600 Caisson Hill Road
Ft. Riley, KS 66442-5043

Mailing address

6665 N 52ND St
Manhattan, KS 66503-8712
Phone (785) 239-4427

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5191KSMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083798292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6665 N 52ND ST",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665038712",
            "telephone_number": "785-239-4427",
            "fax_number": "785-239-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CAISSON HILL ROAD",
            "city": "FT. RILEY",
            "state": "KS",
            "postal_code": "664425043",
            "telephone_number": "785-239-7241",
            "fax_number": "785-239-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RULIFFSON",
        "first_name": "MARK",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "5191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft. Riley, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.