Ciprian Mihail Pufulete, CPED

Primary specialty

OrthotistTaxonomy code 222Z00000X

License

C50032 Issued in NU

Practice address

2139 Valleygate Dr Ste 101a
Fayetteville, NC 28304-3666

Phone

(919) 500-3264

Fax

(919) 343-1937

NPI assigned

Oct 20, 2021

Last updated

Nov 20, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Agape Orthotics of NC

  • Prosthetic/Orthotic Supplier
  • Fayetteville, NC
  • NPI 1164005385

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1750044392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 AMARILLO LN",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273323018",
            "telephone_number": "919-343-1982",
            "fax_number": "919-343-1937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 VALLEYGATE DR STE 101A",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043666",
            "telephone_number": "919-500-3264",
            "fax_number": "919-343-1937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUFULETE",
        "first_name": "CIPRIAN",
        "middle_name": "MIHAIL",
        "name_prefix": "Mr.",
        "credential": "CPED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": "C50032",
            "primary": false
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "NU",
            "license": "C50032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Wilson Pryzgoda, DDS
• Publix North Carolina LP (Publix Pharmacy #2101)
• Publix North Carolina LP
• Tiffany Vick Puckett, LCSW
• Christine Pufnock, M.S., OTR L
• Aurea Pugh
• Katherine Pate Pugh, RDH
• Tejaswi Pulusu
• Laci Scenah Punturi
• Jane Lingao Punzalan, NP-C

• Orthotist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Orthotist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.