SHINE PEDIATRICS AND WELLNESS CENTER P.A. – Pediatrics Physician, NPI 1609110832

SHINE PEDIATRICS AND WELLNESS CENTER P.A. is a healthcare provider. based in Richardson, Texas. specializing in Pediatrics Physician. The organization holds a License No. M0506 (TX). The NPI Number for SHINE PEDIATRICS AND WELLNESS CENTER P.A. is 1609110832

Main info

Organization
Name
SHINE PEDIATRICS AND WELLNESS CENTER P.A.
NPI
1609110832
Phone
(469) 333-1543
Address
3600 SHIRE BLVD
Authorized Official
DR. RANDY NAIDOO PRESIDENT M.D.
Enumeration Date
9 November 2012
Last Update Date
10 August 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for SHINE PEDIATRICS AND WELLNESS CENTER P.A.

  • 3600 SHIRE BLVD

    SUITE 110

    RICHARDSON, TX 750822240

    Phone: (469) 333-1543

    Fax: (877) 878-9118

    Type: Mailing

  • 5009 Byers Ave

    Fort Worth, TX 761073625

    Phone: (469) 333-1543

    Fax: (877) 878-9118

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75082)

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Frequently asked questions

How do I look up SHINE PEDIATRICS AND WELLNESS CENTER P.A. by NPI?
Use NPI 1609110832 when you need to reference SHINE PEDIATRICS AND WELLNESS CENTER P.A. in forms, claims, or directories.
Is SHINE PEDIATRICS AND WELLNESS CENTER P.A.'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does SHINE PEDIATRICS AND WELLNESS CENTER P.A. work in?
You can think of SHINE PEDIATRICS AND WELLNESS CENTER P.A. as practicing within Pediatrics Physician. Clinical services aligned with this taxonomy classification.
Where is SHINE PEDIATRICS AND WELLNESS CENTER P.A.'s primary listing?
We display Richardson, Texas because that is what the record indicates for SHINE PEDIATRICS AND WELLNESS CENTER P.A..
What if Richardson, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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