Individual provider Active NPI

Melissa Rafuls, DMD

  • General Practice Dentistry
  • Garden City, KS
National Provider Identifier
1164316634
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
62322 Issued in KS
Practice address
2510 Henderson Drive
Garden City, KS 67846
Phone
(620) 272-0570
NPI assigned
Jun 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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 62322 KS Primary

Addresses

Primary practice location

2510 Henderson Drive
Garden City, KS 67846

Mailing address

2510 N Henderson Dr
Garden City, KS 67846-3624
Phone (620) 272-0570

Other names 1

  • Orquidea Neliza Rafuls Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260615000432 KS Order and Referring Only - DentistPractitioner - Dentist 1153893870

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
62322KSMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1749254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1164316634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 N HENDERSON DR",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678463624",
            "telephone_number": "620-272-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 HENDERSON DRIVE",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "67846",
            "telephone_number": "620-272-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFULS",
        "first_name": "MELISSA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-07",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "62322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ORQUIDEA",
            "last_name": "RAFULS",
            "middle_name": "NELIZA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Garden City, KS

Sources for this page

Verify at the official NPI Registry.