Revive, DDS, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

REVIVE, DDS, LLC

Doing business as

Vive Dental Day Spa

Practice address

4601 N Park Ave # C7
Chevy Chase, MD 20815-4519

Phone

(301) 664-9596

NPI assigned

Feb 15, 2022

Last updated

Feb 15, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Caroline Reed

Title

Consultant

Phone

(443) 285-3385

Specialties & licenses 1

Addresses

Other names 1

• Vive Dental Day Spa Doing business as

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1336894708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 N PARK AVE # C7",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154519",
            "telephone_number": "301-664-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 N PARK AVE # C7",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154519",
            "telephone_number": "301-664-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "443-285-3385"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vive Dental Day Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dahlia E Reid, M.D.
• Betsy Reinstein Dewey
• Catherine O Renken, NP
• Megan Elise Repoley, DPT
• Resource Anesthesiology Associates of MD
• Tracy Reyes, M.S.
• Amanda Rhodes
• Riad Dakheel, M.D., P.a.
• Christopher Ricardo, DPT
• Richard E Rubin MD PC

• General Practice Dentistry in Chevy Chase, MD
• Providers in Chevy Chase, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.