Kids' Corner Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

KIDS' CORNER PEDIATRICS

Practice address

1114 Bell Shoals Road
Brandon, FL 33511-8813

Phone

(813) 940-8140

Fax

(813) 940-8148

NPI assigned

Jun 11, 2020

Organization subpart

No

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

Authorized official

Name

Ever I Rivera, MD

Title

Owner

Phone

(813) 940-8140

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1720603129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 BELL SHOALS RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118813",
            "telephone_number": "813-940-8140",
            "fax_number": "813-940-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 BELL SHOALS ROAD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118813",
            "telephone_number": "813-940-8140",
            "fax_number": "813-940-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS' CORNER PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "EVER",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-940-8140",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allen Matthew Khodab
• Shravya Kichena, MD
• Kids and More Pediatric Care
• Kids at Home Therapy Services Inc
• Kids Therapy Unlimited, Inc.
• Jessica Kiehl, OTR/L
• John M. Kilgore, M.C.
• Calvin K Kim, M.D.
• Molly Kaleen Kimball, PTA
• Kimberly W. Miller, Psy.D., P.a.

• Pediatrics Physician in Brandon, FL
• Providers in Brandon, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.