Active NPI
DFW Pioneer Adc
- Adult Day Care Clinic/Center
- Arlington, TX
National Provider Identifier
1013219617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- DFW PIONEER ADC
- Practice address
- 1115 W Pioneer Pkwy
Arlington, TX 76013-7624 - Phone
- (817) 459-3311
- Fax
- (817) 459-3314
- NPI assigned
- Dec 2, 2010
- 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
- Lyle X Matthis
- Title
- Business Director
- Phone
- (214) 837-6950
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | |||
| Nutrition Education Nutritionist | 133NN1002X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Adult Day Care Clinic/Center | 261QA0600X | Primary | ||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
1115 W Pioneer Pkwy
Arlington, TX 76013-7624
Mailing address
3200 San Paula CT
Arlington, TX 76012
Phone (214) 837-6950
Other names 1
- Texas Golden Age ADC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291248000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736208000000",
"number": "1013219617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 SAN PAULA CT",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "76012",
"telephone_number": "214-837-6950",
"fax_number": "817-459-3314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 W PIONEER PKWY",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760137624",
"telephone_number": "817-459-3311",
"fax_number": "817-459-3314"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DFW PIONEER ADC",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-02",
"last_updated": "2025-01-07",
"status": "A",
"authorized_official_last_name": "MATTHIS",
"authorized_official_first_name": "LYLE",
"authorized_official_middle_name": "X",
"authorized_official_title_or_position": "BUSINESS DIRECTOR",
"authorized_official_telephone_number": "214-837-6950"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "133NN1002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Texas Golden Age ADC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.