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KINDER LIFE PEDIATRICS
NPI 1538607254
Pediatrics in Centreville, VA

Active since February 01, 2017CLIA 49D2125714 · Waiver
13890 BRADDOCK RD, SUITE 205, CENTREVILLE, VA 20121(703) 766-1716(703) 991-6166 Get Directions Write a Review

NPPES record last updated: February 1, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kinder Life Pediatrics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KINDER LIFE PEDIATRICS (NPI 1538607254) is a healthcare organization registered as a pediatrics in Centreville, Virginia and active in the NPI registry since February 2017. The organization holds a CLIA Waiver certificate valid through February 12, 2027 and lists Mi Hei Chung Cho, Owner, as its authorized official.

NPPES Registry Identity

NPI1538607254
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameKINDER LIFE PEDIATRICS
Location Address13890 BRADDOCK RD, SUITE 205Centreville, VA 20121-2435
Mailing Address13890 Braddock Rd, Suite 205Centreville, VA 20121-2435 · (703) 766-1716 · Fax (703) 991-6166
Phone(703) 766-1716
Fax(703) 991-6166
Organization SubpartNo
Authorized OfficialMi Hei Chung ChoOwner · (703) 766-1716
Enumeration DateFebruary 1, 2017
✔ NPI 1538607254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in VA · 0101253646
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
13890 BRADDOCK RD, Centreville, VA 20121
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2125714

Kinder Life Pediatrics · Centreville, VA
Active · expires Feb 12, 2027
CLIA Number49D2125714
Laboratory TypePhysician Office
Certificate Effective DateFebruary 13, 2025
Certificate Expiration DateFebruary 12, 2027
Laboratory DirectorMi Hei Chung Cho
Laboratory Phone(703) 766-1716
Laboratory LocationKinder Life Pediatrics14631 Lee Hwy, Suite 413, Centreville, VA 20121
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAUL FRIZELLE DPT
Physical Therapist
13890 BRADDOCK RD, SUITE 102
CENTREVILLE, VA 20121
Fairfax County (703) 830-6360
ALEXANDRA MICELI OTR/L
Occupational Therapist
13890 BRADDOCK RD, STE. 207
CENTREVILLE, VA 20121
Fairfax County (540) 720-2261
MR. WILSON CHAPMAN HURLEY LCSW
Social Worker (Clinical)
13890 BRADDOCK RD, SUITE 312
CENTREVILLE, VA 20121
Fairfax County (703) 815-3800
MS. DENISE ANN TROGDON L.C.S.W.
Social Worker (Clinical)
13890 BRADDOCK RD, SUITE 312
CENTREVILLE, VA 20121
Fairfax County (703) 969-7807
YOUNGCHUL JANG
Chiropractor
13890 BRADDOCK RD, SUITE 200
CENTREVILLE, VA 20121
Fairfax County (703) 830-4422
KARI MONTGOMERY DEROHAN PT
Physical Therapist
13890 BRADDOCK RD, 102
CENTREVILLE, VA 20121
Fairfax County (703) 830-6360
LAURA ELIZABETH JACOBS MS CCC-SLP
Speech-Language Pathologist
13890 BRADDOCK RD, SUITE 205
CENTREVILLE, VA 20121
Fairfax County (540) 720-2261
JACQUELINE MICHELLE STILES
Physical Therapist
13890 BRADDOCK RD, SUITE 102
CENTREVILLE, VA 20121
Fairfax County (703) 830-6360

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kinder Life Pediatrics's NPI number?

The NPI number for Kinder Life Pediatrics is 1538607254. It was assigned to this organization in the NPPES registry on February 1, 2017.

Where is Kinder Life Pediatrics located?

Kinder Life Pediatrics is located at 13890 Braddock Rd Suite 205, Centreville, VA 20121. The listed phone number is (703) 766-1716.

What is Kinder Life Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Kinder Life Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2125714) is associated with this NPI, valid through February 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kinder Life Pediatrics was last updated on February 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.