Organization Active NPI

Gerald S. Fine, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Brookline, MA
National Provider Identifier
1134458094
Registry record updated Dec 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
GERALD S. FINE, D.D.S.
Practice address
1223 Beacon St
Brookline, MA 02446-5302
Phone
(617) 731-6060
Fax
(617) 975-1990
NPI assigned
Dec 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2009

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

Authorized official

Name
Dr. Gerald Stephen Fine, D.D.S.
Title
Doctor
Phone
(617) 731-6060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

1223 Beacon St
Brookline, MA 02446-5302

Mailing address

1223 Beacon St
Brookline, MA 02446-5302
Phone (617) 731-6060

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261526400000",
    "number": "1134458094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 BEACON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465302",
            "telephone_number": "617-731-6060",
            "fax_number": "617-975-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 BEACON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465302",
            "telephone_number": "617-731-6060",
            "fax_number": "617-975-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD S. FINE, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-23",
        "last_updated": "2009-12-23",
        "status": "A",
        "authorized_official_last_name": "FINE",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "617-731-6060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; 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.