Active NPI
Smart Start Pediatrics
- Pediatrics Physician
- Glastonbury, CT
National Provider Identifier
1740602515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 037023
- Legal business name
- SMART START PEDIATRICS
- Practice address
- 27 Sycamore St.
Suite 300
Glastonbury, CT 06033 - Phone
- (860) 657-5800
- Fax
- (860) 633-6808
- NPI assigned
- Jan 14, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Howard Lavalette, MD
- Title
- Owner
- Phone
- (860) 657-5800
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 037023 | CT | Primary |
| Pediatric Nurse Practitioner | 363LP0200X | 002159 | CT |
Addresses
Primary practice location
27 Sycamore St.
Suite 300
Glastonbury, CT 06033
Mailing address
27 Sycamore St.
Suite 300
Glastonbury, CT 06033
Phone (860) 657-5800
National Provider Directory
National Provider DirectoryLocations
703 Hebron Ave
Glastonbury, CT 06033
Phone (860) 659-8830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389657600000",
"number": "1740602515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 SYCAMORE ST.",
"address_2": "SUITE 300",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "06033",
"telephone_number": "860-657-5800",
"fax_number": "860-633-6808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 SYCAMORE ST.",
"address_2": "SUITE 300",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "06033",
"telephone_number": "860-657-5800",
"fax_number": "860-633-6808"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMART START PEDIATRICS",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-14",
"last_updated": "2014-01-14",
"status": "A",
"authorized_official_last_name": "LAVALETTE",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "HOWARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "860-657-5800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "CT",
"license": "037023",
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CT",
"license": "002159",
"primary": false
}
],
"identifiers": [],
"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 Jan 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.