Organization Active NPI

Maple Leaf Dental, PC

  • Prosthodontics
  • Houston, TX
National Provider Identifier
1649142233
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
Legal business name
MAPLE LEAF DENTAL, PC
Practice address
14754 Memorial Dr Ste 100
Houston, TX 77079-5275
Phone
(281) 497-5558
Fax
(281) 497-7181
NPI assigned
Sep 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lisa GiovanettiNPI 1720381338
Title
DDS
Phone
(281) 497-5558

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X Primary

Addresses

Primary practice location

14754 Memorial Dr Ste 100
Houston, TX 77079-5275

Mailing address

14754 Memorial Dr Ste 100
Houston, TX 77079-5275

National Provider Directory

National Provider Directory

Locations

14754 Memorial Dr
Ste 100
Houston, TX 77079
Phone (281) 497-5558

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1649142233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14754 MEMORIAL DR STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770795275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14754 MEMORIAL DR STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770795275",
            "telephone_number": "281-497-5558",
            "fax_number": "281-497-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE LEAF DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "GIOVANETTI",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "281-497-5558"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.