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KIDS' CORNER PEDIATRICS
NPI 1720603129
Pediatrics in Brandon, FL

Active since June 11, 2020CLIA 10D2191883 · Waiver
1114 BELL SHOALS ROAD, BRANDON, FL 33511(813) 940-8140(813) 940-8148 Get Directions Write a Review

NPPES record last updated: July 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 27, 2020, Jun 12, 2020 (2 updates tracked since 2020).

About Kids' Corner Pediatrics NPPES

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

KIDS' CORNER PEDIATRICS (NPI 1720603129) is a healthcare organization registered as a pediatrics in Brandon, Florida and active in the NPI registry since June 2020. The organization holds a CLIA Waiver certificate valid through September 1, 2026 and lists Ever I Rivera, Owner, as its authorized official.

NPPES Registry Identity

NPI1720603129
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameKIDS' CORNER PEDIATRICS
Location Address1114 BELL SHOALS ROADBrandon, FL 33511-8813
Mailing Address1114 Bell Shoals RdBrandon, FL 33511-8813 · (813) 940-8140 · Fax (813) 940-8148
Phone(813) 940-8140
Fax(813) 940-8148
Organization SubpartNo
Authorized OfficialEver I RiveraOwner · (813) 940-8140
Enumeration DateJune 11, 2020
Last NPPES UpdateJuly 27, 20202 updates tracked since enumeration
NPPES CertifiedJuly 27, 2020
✔ NPI 1720603129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
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.
1114 BELL SHOALS ROAD, Brandon, FL 33511
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellpoint.Insurance ›

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 10D2191883

Kids' Corner Pediatrics PLLC · Brandon, FL
Active · expires Sep 1, 2026
CLIA Number10D2191883
Laboratory TypePhysician Office
Certificate Effective DateSeptember 2, 2024
Certificate Expiration DateSeptember 1, 2026
Laboratory DirectorEver I. Rivera
Laboratory Phone(813) 205-0679
Laboratory LocationKids' Corner Pediatrics PLLC1114 Bell Shoals Rd, Brandon, FL 33511
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Kids' Corner Pediatrics's NPI number?

The NPI number for Kids' Corner Pediatrics is 1720603129. It was assigned to this organization in the NPPES registry on June 11, 2020.

Where is Kids' Corner Pediatrics located?

Kids' Corner Pediatrics is located at 1114 Bell Shoals Road, Brandon, FL 33511. The listed phone number is (813) 940-8140.

What is Kids' Corner Pediatrics's specialty?

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

Does Kids' Corner Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2191883) is associated with this NPI, valid through September 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kids' Corner Pediatrics accept?

Health plans from Wellpoint list Kids' Corner Pediatrics as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kids' Corner Pediatrics was last updated on July 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.