Samuel Pupino, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18273 Issued in OH

Practice address

554 White Pond Dr
#E
Akron, OH 44320-1146

Phone

(330) 836-0485

NPI assigned

Dec 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144388208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 WHITE POND DR",
            "address_2": "#E",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443201146",
            "telephone_number": "330-836-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 WHITE POND DR",
            "address_2": "#E",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443201146",
            "telephone_number": "330-836-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUPINO",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "18273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret A Pullin, CNP
• Patrick D Pullum
• Haley Pulvermacher, LSW
• Cynthia Wei Pung
• Kieo Pung, D.D.S
• David S Purdy, CRNA
• Jessica Purdy
• Pure Belladonna Holistic Care LLC
• Pure Touch
• Felicia Karen Purefoy, MEDICAL ASSISTANT

• General Practice Dentistry in Akron, OH
• Providers in Akron, OH by specialty
• General Practice Dentistry in Ohio

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.