Reviv PLLC
NPI 1114595824 · General Practice Physician · Fargo, ND
Reviv PLLC is a General Practice Physician organization in Fargo, ND (NPI 1114595824).
Provider details
- NPI number
- 1114595824
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Laura Job, Operations Manager(701) 526-6530
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-06-17
- Last updated
- 2025-02-04
- Certified
- 2025-02-04
Frequently asked questions
- What is Reviv PLLC's NPI number?
- Reviv PLLC's National Provider Identifier (NPI) is 1114595824, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Reviv PLLC?
- Reviv PLLC is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Reviv PLLC located?
- Reviv PLLC's practice location on file with NPPES is 3029 Brandt Dr S Ste a, Fargo, ND 58104-9140.
- What is Reviv PLLC's phone number?
- The practice phone number listed in the NPPES registry for Reviv PLLC is (701) 566-5306.
- Who is the authorized official for Reviv PLLC?
- The authorized official listed on Reviv PLLC's NPPES record is Laura Job, Operations Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Reviv PLLC's NPI active?
- Yes — Reviv PLLC's NPI (1114595824) is active in the NPPES registry as of the last update on 2025-02-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.