Maple Street, PC

Maple Street, PC is a healthcare organization registered as General Practice Dentistry in Houston, MN, holding Type 2 (organization) NPI 1275763674 since 2009. The authorized official on file is John Evenson, Owner.

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NPI	1275763674
Entity type	Organization (Type 2)
Legal business name	Maple Street, PC
Other name	<Unavail>
Practice address	109 E MAPLE ST, Houston, MN, 55943
Phone	5078962202
Enumeration date	2009-07-20
Last updated in NPPES	2009-07-20

Authorized official

Name	John Evenson
Title	Owner
Phone	5078962202

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
1223G0001X	General Practice Dentistry	Primary	D11269	MN

Other identifiers

Identifier	Type	State	Issuer
459846600	Medicaid	MN	—

Copy-ready billing details

Provider: Maple Street, PC
NPI: 1275763674
Taxonomy: 1223G0001X (General Practice Dentistry)
Address: 109 E MAPLE ST, Houston, MN, 55943

Providers at this address

NPI	Name	Type	Specialty	Location
1093715112	Ronald Evenson	Individual	General Practice Dentistry	Houston, MN
1902806094	John Evenson	Individual	General Practice Dentistry	Houston, MN
1285837443	Kristie Treptow	Individual	Dentist	Houston, MN
1790977114	Houston Dental Clinic, PC	Organization	Dental Clinic/Center	Houston, MN

Verify this record

Cross-check NPI 1275763674 against the authoritative CMS record: view Maple Street, PC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Maple Street, PC located?

The practice location on file with NPPES is in Houston, MN.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-07-20. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-07-20.