REVITALIS LLC
NPI 1710788294
Otolaryngology - Plastic Surgery within the Head & Neck in Scottsdale, AZ

Active since March 21, 2025
7600 E CAMELBACK RD STE 7, SCOTTSDALE, AZ 85251(480) 520-3223(480) 847-3223 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: May 20, 2026, Apr 2, 2026, Feb 2, 2026 and 1 more (4 updates tracked since 2025).

About Revitalis Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVITALIS LLC (NPI 1710788294) is a healthcare organization registered as a plastic surgery within the head & neck in Scottsdale, Arizona and active in the NPI registry since March 2025. The organization lists Nathan Jowett, Director, as its authorized official.

NPPES Registry Identity

NPI1710788294
Entity TypeOrganization
Primary Taxonomy207YX0007X
Legal Business NameREVITALIS LLC
Location Address7600 E CAMELBACK RD STE 7Scottsdale, AZ 85251-2106
Mailing Address7600 E Camelback Rd Ste 7Scottsdale, AZ 85251-2106 · (480) 520-3223 · Fax (480) 847-3223
Fax(480) 847-3223
Organization SubpartNo
Authorized OfficialNathan JowettDirector · (480) 520-3223
Enumeration DateMarch 21, 2025
Last NPPES UpdateMay 20, 20264 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
NPI 1710788294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
Also ListedOtolaryngology · Facial Plastic SurgeryTaxonomy 207YS0123X
7600 E CAMELBACK RD STE 7, Scottsdale, AZ 85251

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Otolaryngology (Plastic Surgery within the Head & Neck)
7600 E CAMELBACK RD STE 7
SCOTTSDALE, AZ 85251

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Revitalis LLC's NPI number?

The NPI number for Revitalis LLC is 1710788294. It was assigned to this organization in the NPPES registry on March 21, 2025.

Where is Revitalis LLC located?

Revitalis LLC is located at 7600 E Camelback Rd Ste 7, Scottsdale, AZ 85251. The listed phone number is (480) 520-3223.

What is Revitalis LLC's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

When was this NPI record last updated?

The NPPES record for Revitalis LLC was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.