NPPES file of Aug 9, 2026

Revival Dermatology PLLC in Dallas, TX

This organization bills under NPI 1679149702, an organization record issued on May 30, 2021 with the primary taxonomy Dermatology Physician. Each clinician who works there has their own NPI and license.

CMS NPPES registry, file of Aug 9, 2026 · method · Verify with CMS →

Organization recordNPPES, Aug 2026
1679149702
Legal name
Revival Dermatology PLLC
Entity
Type 2 · organization
Primary taxonomy
Dermatology Physician 207N00000X
Practice location
8201 PRESTON RD STE 440, Dallas, TX 75225
Phone
214-675-3227
Enumerated
May 30, 2021
Record updated
Jun 11, 2021
Authorized official
President (title as filed)
Public record from the NPPES NPI Registry (open it on CMS). An NPI identifies who bills; it is not a facility license.

3 clinicians CMS lists with Revival Dermatology in Dallas

  1. Amanda Champlain, MDDermatology Physician1003180993
  2. Lisa Guidry Pruett, MDDermatology Physician1356367106
  3. Jon Pruett, MDDermatology Physician1023071933

Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.

Checking an organization

  1. Confirm the business with the Texas secretary of state.
  2. Check the HHS-OIG exclusion list for the organization.
  3. Verify each clinician on their own record and the state license search.

Common questions

Is an organization NPI a license?

No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.

Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.