Active NPI
John Howard Lavalette, MD
- Pediatrics Physician
- Glastonbury, CT
National Provider Identifier
1154373405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 037023
- Practice address
- 31 Sycamore Rd
Glastonbury, CT 06033 - Phone
- (860) 721-7561
- Fax
- (860) 721-9199
- NPI assigned
- May 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 037023 | CT | Primary |
Addresses
Primary practice location
31 Sycamore Rd
Glastonbury, CT 06033
Mailing address
546 Cromwell Ave
Rocky Hill, CT 06067
Phone (860) 721-7561
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00137023800 | Medicaid | CT | |
| 00948R | Other | BCBS UPIN | |
| 0370230688 | Other | CT | CT CARE |
| 010037023CT01 | Other | CT | BCBS |
| OV8907 | Other | HEALTHNET | |
| P1102930 | Other | CT | OXFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 037023 | CT | MD | Pediatrics Physician |
Interoperability endpoints
- john.lavalette.1@6942.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1154373405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "546 CROMWELL AVE",
"city": "ROCKY HILL",
"state": "CT",
"postal_code": "06067",
"telephone_number": "860-721-7561",
"fax_number": "860-721-9199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 SYCAMORE RD",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "06033",
"telephone_number": "860-721-7561",
"fax_number": "860-721-9199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVALETTE",
"first_name": "JOHN",
"middle_name": "HOWARD",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CT",
"license": "037023",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00137023800",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS UPIN",
"identifier": "00948R",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CT CARE",
"identifier": "0370230688",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "010037023CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "OV8907",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P1102930",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glastonbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.