Individual provider Active NPI

John C Dallenbach, M.D.

  • Pediatrics Physician
  • Pittsfield, MA
National Provider Identifier
1235178229
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
155179 Issued in MA
Practice address
426 East St
Pittsfield, MA 01201-5308
Phone
(413) 442-8267
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 81238 MN
Pediatrics Physician 208000000X 155179 MA Primary

Addresses

Primary practice location

426 East St
Pittsfield, MA 01201-5308

Mailing address

51 Wellesley St
Pittsfield, MA 01201-7307
Phone (413) 442-8267

Other practice location 1

1611 Anne St NW
Bemidji, MN 56601-5114
Phone (218) 333-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, IN, MT, VT, MN5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20221117003116 MA Practitioner - Pediatric Medicine 7113395468 Reassigns benefits to 2 organizations
I20230615002944 IN Practitioner - Pediatric Medicine 7113395468 Reassigns benefits to 1 organization
I20230808003386 MT Practitioner - Pediatric Medicine 7113395468 Reassigns benefits to 2 organizations
I20250122002021 VT Practitioner - Pediatric Medicine 7113395468 Reassigns benefits to 2 organizations
I20260319003929 MN Practitioner - Pediatric Medicine 7113395468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 5074
Sioux Falls, SD 57117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
155179MAMDPediatrics Physician
81238MNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Vermont Medical Center Inc Pediatrics CurrentSince Jan 1, 2025 Accepting new patients
Dalton Medical Associates, LLP Current Accepting new patients
Fairview Hospital CurrentSince Oct 28, 2024 Accepting new patients
Berkshire Faculty Services Inc CurrentSince Oct 28, 2024 Accepting new patients
Billings Clinic Current Accepting new patients
St. Peter'S Health CurrentSince Sep 30, 2024 Accepting new patients
Billings Clinic CurrentSince Jun 17, 2023 Accepting new patients
St Peter'S Health Current Accepting new patients
St Peter'S Medical Group North CurrentSince Sep 30, 2024 Accepting new patients
Sanford Health of Northern Minnesota CurrentSince Feb 8, 2026 Accepting new patients
Reid Physician Associates, Inc CurrentSince Jun 20, 2023 Accepting new patients
Reid Physician Associates, Inc. CurrentSince Jun 20, 2023 Accepting new patients
Billings Clinic CurrentSince Jun 17, 2023 Accepting new patients
Pratt Pediatric Associates Inc Pediatrics CurrentSince Aug 1, 2022 Accepting new patients

Locations

1100 Reid Pkwy
Richmond, IN 47374
Phone (765) 983-3000

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

780 S Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 447-2498

426 East St
Pittsfield, MA 01201
Phone (413) 442-8267

758 East St
Pittsfield, MA 01201
Phone (413) 447-2837

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

2475 E Broadway St
Helena, MT 59601
Phone (406) 442-2480

130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400

Interoperability endpoints

  • Direct secure messaging: johndallenbach@comdal.medalliesdirect.net
  • Direct secure messaging: jdallenbach86841@tuftsmedicine.direct-ci.com
  • Direct secure messaging: jdallenbach473348@reidhealth.direct-ci.com
  • Direct secure messaging: jdallenbach601902@direct.uvmhealth.org
  • Direct secure messaging: jcdallenbach@eastelm.opdirect.net

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1235178229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 WELLESLEY ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012017307",
            "telephone_number": "413-442-8267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 EAST ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012015308",
            "telephone_number": "413-442-8267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 Anne St NW",
            "address_purpose": "LOCATION",
            "city": "Bemidji",
            "state": "MN",
            "postal_code": "566015114",
            "country_code": "US",
            "telephone_number": "218-333-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALLENBACH",
        "first_name": "JOHN",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "81238",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "155179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.