Revitalis LLC
NPI 1710788294 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Scottsdale, AZ
Revitalis LLC is a Plastic Surgery within the Head & Neck (Otolaryngology) Physician organization in Scottsdale, AZ (NPI 1710788294).
Provider details
- NPI number
- 1710788294
- Entity type
- Organization
- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nathan Jowett, Director(480) 520-3223
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Facial Plastic Surgery Physician207YS0123X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
- 2025-03-21
- Last updated
- 2026-05-20
- Certified
- 2026-05-20
Frequently asked questions
- What is Revitalis LLC's NPI number?
- Revitalis LLC's National Provider Identifier (NPI) is 1710788294, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revitalis LLC?
- Revitalis LLC is classified in the NPPES registry as Plastic Surgery within the Head & Neck (Otolaryngology) Physician (Allopathic & Osteopathic Physicians).
- Where is Revitalis LLC located?
- Revitalis LLC's practice location on file with NPPES is 7600 E Camelback Rd Ste 7, Scottsdale, AZ 85251-2106.
- What is Revitalis LLC's phone number?
- The practice phone number listed in the NPPES registry for Revitalis LLC is (480) 520-3223.
- Who is the authorized official for Revitalis LLC?
- The authorized official listed on Revitalis LLC's NPPES record is Nathan Jowett, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revitalis LLC's NPI active?
- Yes — Revitalis LLC's NPI (1710788294) is active in the NPPES registry as of the last update on 2026-05-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.