Individual provider Active NPI

Lawrence Warren Maher III, D.D.S.

  • General Practice Dentistry
  • La Porte, TX
National Provider Identifier
1922117431
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16519 Issued in TX
Practice address
505 W Fairmont Pkwy
Suite a
La Porte, TX 77571-6312
Phone
(281) 471-1797
Fax
(281) 471-6339
NPI assigned
Aug 29, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 16519 TX Primary

Addresses

Primary practice location

505 W Fairmont Pkwy
Suite a
La Porte, TX 77571-6312

Mailing address

505 W Fairmont Pkwy
Suite a
La Porte, TX 77571-6312
Phone (281) 471-1797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150605002201 TX Order and Referring Only - DentistPractitioner - Dentist 1658692330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16519TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Unique Family Dental General Practice PastSince Aug 17, 2025 Accepting new patients
Lawrence Maher, III, D.D.S and Gayla M Maher, D.D.S., Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922117431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 W FAIRMONT PKWY",
            "address_2": "SUITE A",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "775716312",
            "telephone_number": "281-471-1797",
            "fax_number": "281-471-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W FAIRMONT PKWY",
            "address_2": "SUITE A",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "775716312",
            "telephone_number": "281-471-1797",
            "fax_number": "281-471-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHER",
        "first_name": "LAWRENCE",
        "middle_name": "WARREN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Porte, TX

Sources for this page

Verify at the official NPI Registry.