Active NPI
Mariah Herold, DDS
- General Practice Dentistry
- Baxter, MN
National Provider Identifier
1801716634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D15529
- Practice address
- 13367 Isle Dr Ste 1
Baxter, MN 56425-2224 - Phone
- (320) 360-6904
- NPI assigned
- Jul 20, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D15529 | MN | Primary |
Addresses
Primary practice location
13367 Isle Dr Ste 1
Baxter, MN 56425-2224
Mailing address
8590 Fir St
Greenfield, MN 55373
Phone (320) 360-6904
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1801716634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8590 FIR ST",
"city": "GREENFIELD",
"state": "MN",
"postal_code": "55373",
"telephone_number": "320-360-6904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13367 ISLE DR STE 1",
"city": "BAXTER",
"state": "MN",
"postal_code": "564252224",
"telephone_number": "320-360-6904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEROLD",
"first_name": "MARIAH",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-20",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MN",
"license": "D15529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baxter, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.