Active NPI
Shanay Telck
- Dental Hygienist
- Wheat Ridge, CO
National Provider Identifier
1245012525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH.002026873
- Practice address
- 7495 W 29TH Ave
Wheat Ridge, CO 80033-8002 - Phone
- (303) 761-1977
- NPI assigned
- Oct 20, 2023
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH.002026873 | CO | Primary |
Addresses
Primary practice location
7495 W 29TH Ave
Wheat Ridge, CO 80033-8002
Mailing address
7495 W 29TH Ave
Wheat Ridge, CO 80033-8002
Phone (303) 761-1977
Other names 1
- Shanay Moeller
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DH.002026873 | CO | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781481600000",
"number": "1245012525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7495 W 29TH AVE",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800338002",
"telephone_number": "303-761-1977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7495 W 29TH AVE",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800338002",
"telephone_number": "303-761-1977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TELCK",
"first_name": "SHANAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-20",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CO",
"license": "DH.002026873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHANAY",
"last_name": "MOELLER",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.