Sergio Londono Moncada

Primary specialty

DentistTaxonomy code 122300000X

License

18402 Issued in MD

Practice address

920 S Curley St
Baltimore, MD 21224-4824

Phone

(240) 370-6452

NPI assigned

Mar 13, 2024

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

State licenses

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

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1356100366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ALBANY ST UNIT 404",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182790",
            "telephone_number": "240-370-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 S CURLEY ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244824",
            "telephone_number": "240-370-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONDONO MONCADA",
        "first_name": "SERGIO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-13",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "18402",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aldo Vincent Londino III, M.D.
• David London
• David Harlan London, PHARM.D.
• Nicola A London, M.D.
• Nyall London, MD/PHD
• Jeanee Lonesome
• Brenda B Loney
• Long Integrated Medical LLC
• Long Integrated Psychiatric Services LLC
• Kara Long Roche, M.D.

• Dentist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.