Organization Active NPI

Revive Dental Studio

  • Dental Clinic/Center
  • Fishers, IN
National Provider Identifier
1457263170
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
REVIVE DENTAL STUDIO
Practice address
10990 Allisonville Rd
Fishers, IN 46038-2637
Phone
(317) 792-8333
Fax
(317) 792-8868
NPI assigned
Sep 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Authorized official

Name
Harpreet Kaur
Title
Dentist/Owner
Phone
(516) 647-7940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

10990 Allisonville Rd
Fishers, IN 46038-2637

Mailing address

12044 Shady Knoll Dr
Fishers, IN 46037-8321

NPI Registry JSON

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

{
    "created_epoch": "1789689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1457263170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12044 SHADY KNOLL DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460378321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10990 ALLISONVILLE RD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382637",
            "telephone_number": "317-792-8333",
            "fax_number": "317-792-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE DENTAL STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-18",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A",
        "authorized_official_last_name": "KAUR",
        "authorized_official_first_name": "HARPREET",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "516-647-7940"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.