Active NPI
John C Dallenbach, M.D.
- Pediatrics Physician
- Pittsfield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 155179
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 155179 | MA | MD | Pediatrics Physician |
| 81238 | MN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Vermont Medical Center Inc | Pediatrics | Current | Accepting new patients |
| Dalton Medical Associates, LLP | Current | Accepting new patients | |
| Fairview Hospital | Current | Accepting new patients | |
| Berkshire Faculty Services Inc | Current | Accepting new patients | |
| Billings Clinic | Current | Accepting new patients | |
| St. Peter'S Health | Current | Accepting new patients | |
| Billings Clinic | Current | Accepting new patients | |
| St Peter'S Health | Current | Accepting new patients | |
| St Peter'S Medical Group North | Current | Accepting new patients | |
| Sanford Health of Northern Minnesota | Current | Accepting new patients | |
| Reid Physician Associates, Inc | Current | Accepting new patients | |
| Reid Physician Associates, Inc. | Current | Accepting new patients | |
| Billings Clinic | Current | Accepting new patients | |
| Pratt Pediatric Associates Inc | Pediatrics | Current | 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
- johndallenbach@comdal.medalliesdirect.net
- jdallenbach86841@tuftsmedicine.direct-ci.com
- jdallenbach473348@reidhealth.direct-ci.com
- jdallenbach601902@direct.uvmhealth.org
- 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.
-
- Family Medicine Physician
- Berlin, VT
- NPI 1023028784
Pediatrics, VT
-
- Internal Medicine Physician
- Bennington, VT
- NPI 1184994162
VT
-
- Internal Medicine Physician
- Dalton, MA
- NPI 1831225689
-
- Rural Health Clinic/Center
- Great Barrington, MA
- NPI 1881252286
-
- Endocrinology, Diabetes & Metabolism Physician
- Billings, MT
- NPI 1124310537
-
- General Practice Physician
- Billings, MT
- NPI 1376598714
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.