Active NPI
Revive Dental Studio
- Dental Clinic/Center
- Fishers, IN
National Provider Identifier
1457263170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.