OrganizationActive
East Elm Pediatrics
NPI 1215296777 · Pediatric Adolescent Medicine Physician · Pittsfield, MA
Provider details
- NPI number
- 1215296777
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Dallenbach, Owner(413) 442-8267
- License
- 155179 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
426 East St
Pittsfield, MA 01201-5308
Phone: (413) 442-8267
Fax: (413) 442-8253
Street-level locationGet directions
Mailing address
426 East St
Pittsfield, MA 01201-5308
Registry dates
- Enumerated
- 2012-05-03
- Last updated
- 2012-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.