Chelcie Gjellum, RDH, CSOM

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH000906352 Issued in CO

Practice address

9105 Kimmer Dr
Lone Tree, CO 80124-8454

Phone

(303) 799-9993

NPI assigned

Oct 8, 2019

Last updated

Oct 8, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1023659315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10342 ROWLOCK WAY",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801349577",
            "telephone_number": "719-588-1748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9105 KIMMER DR",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801248454",
            "telephone_number": "303-799-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GJELLUM",
        "first_name": "CHELCIE",
        "credential": "RDH, CSOM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-08",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "DH000906352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Logan Gibson, MD
• Raul M Gierbolini, PA-C
• Arvin Singh Gill, MD
• Terri Lynn Gilliland, LMT
• Sheri L Gipson, MD
• Kelley K Glancey, MD
• Lauren E Gleckler, M.D.
• Jacquelyn Kay Glenn, MD
• Jeffrey J Goates, M.D.
• Erin E. Godbout, MD

• Dental Hygienist in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Dental Hygienist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.