Gary Ronald Login, DMD, DMSC.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15516 Issued in MA

Practice address

209 Harvard St
Suite 402
Brookline, MA 02446-5071

Phone

(617) 277-0807

Fax

(617) 566-5331

NPI assigned

Dec 2, 2006

Sex

Male

Sole proprietor

Yes

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 MA

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

Practice roles

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

• Brookline Smile Artists

  • Dental Clinic/Center
  • Brookline, MA
  • NPI 1790295152
  NPD (past)

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

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154499432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 HARVARD ST",
            "address_2": "SUITE 402",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465071",
            "telephone_number": "617-277-0807",
            "fax_number": "617-566-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 HARVARD ST",
            "address_2": "SUITE 402",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465071",
            "telephone_number": "617-277-0807",
            "fax_number": "617-566-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGIN",
        "first_name": "GARY",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "DMD, DMSC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "15516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Evalyne Livingston, D.MIN, LMHC
• Laurie A Livingston, ED.D.
• Mayrelys Mary Liz Jimenez
• Roxanna Llamas, PSYD
• Joanne Catherine Lloyd
• Wayne M. London, D.C.
• Kristin Ann Long, PHD
• Longo Dental Associates, P.C.
• Dan L. Longo, M.D.
• Maria Lourdes Longo, D.M.D.

• General Practice Dentistry in Brookline, MA
• Providers in Brookline, MA by specialty
• General Practice Dentistry in Massachusetts

• 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.