Herta Granado, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

17843 Issued in MD

Practice address

602 Center St Ste 203
Mount Airy, MD 21771-7445

Phone

(301) 829-6588

NPI assigned

Jun 26, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1558047456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 WATERLOO RD STE 220",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452638",
            "telephone_number": "410-630-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 CENTER ST STE 203",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217717445",
            "telephone_number": "301-829-6588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5900 Waterloo Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210452638",
            "country_code": "US",
            "telephone_number": "410-630-8189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANADO",
        "first_name": "HERTA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "17843",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MD",
            "license": "17843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew James Giroux, DPT
• Aaliyah Elaine Goldizen
• Peyton Elyse Golueke
• Brittany Gordon
• Robert Gralley, LGPC
• Allison Brooks Green, DDS
• Todd Michael Grim, P.T.
• Crisanto Talpa Guillermo, PT
• Ellen Kristen Gustafson, DPT
• Guy Cappuccino, MD LLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Mount Airy, MD
• Providers in Mount Airy, MD by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.