Organization Active NPI

Smart Start Pediatrics

  • Pediatrics Physician
  • Glastonbury, CT
National Provider Identifier
1740602515
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
037023 Issued in CT
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

Updated by the provider on Jan 14, 2014

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 037023 CT Primary
Pediatric Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.