Sunshine Pediatric Day Center Fort Worth LLC

Primary specialty

Medically Fragile Infants and Children Day CareTaxonomy code 261QM3000X

Legal business name

SUNSHINE PEDIATRIC DAY CENTER FORT WORTH LLC

Practice address

9127 King Arthur Dr
Dallas, TX 75247-3607

Phone

(972) 882-9498

Fax

(972) 755-4420

NPI assigned

Sep 16, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David R Maymon, JD

Title

Ceo

Phone

(972) 882-9498

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gabriella Maria Borboa, OTD, OTR/L

  • Occupational Therapist
  • Dallas, TX
  • NPI 1578322210
  NPD
• Erika Hernandez

  • Speech-Language Assistant
  • Dallas, TX
  • NPI 1225821135
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1104596543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9127 KING ARTHUR DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752473607",
            "telephone_number": "972-882-9498",
            "fax_number": "972-755-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9127 KING ARTHUR DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752473607",
            "telephone_number": "972-882-9498",
            "fax_number": "972-755-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE PEDIATRIC DAY CENTER FORT WORTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-16",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "MAYMON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-882-9498",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunset Oaks Dental P.a.
• Sunshine Kids Pediatric Day Center, LLC
• Sunshine Medical Transport, Inc
• Sunshine Mobile Dentistry
• Sunshine PDN, LLC
• Sunshine Toxicology, LLC
• Sunspire Health Texas LLC
• Sunview Medical Equipment & Supply Inc.
• Supakit
• Superb Wheels in Motion Non Medical Transportation Inc

• Medically Fragile Infants and Children Day Care in Dallas, TX
• Providers in Dallas, TX by specialty
• Medically Fragile Infants and Children Day Care in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.