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MRS. SHASTA MARIE KELLERBY RDH
NPI 1417228404
Dental Hygienist in Rifle, CO

Active since January 23, 2012

NPPES record last updated: January 23, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Shasta Marie Kellerby Rdh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SHASTA MARIE KELLERBY RDH (NPI 1417228404) is an individual dental hygienist in Rifle, Colorado, licensed in Colorado (904683) and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1417228404
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameMRS. SHASTA MARIE KELLERBYCredential: RDH
Location Address195 W 14THRifle, CO 81650-4700
Mailing Address2937 Brook View CtGrand Junction, CO 81503-4808 · (970) 260-6144
Phone(970) 625-5200
Sole ProprietorYes
Enumeration DateJanuary 23, 2012
✔ NPI 1417228404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License✔ Licensed in CO · 904683
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
195 W 14TH, Rifle, CO 81650
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA GOODWIN RN
Registered Nurse
195 W 14TH
RIFLE, CO 81650
Garfield County (970) 625-5200
KRISTINE VANDEURSEN
Dental Hygienist
195 W 14TH
RIFLE, CO 81650
Garfield County (970) 625-5200
MS. AMBER RENEA KEEFE RDH
Dental Hygienist
195 W 14TH
RIFLE, CO 81650
Garfield County (970) 625-5200
JENNIFER L BAUER RDH
Dental Hygienist
195 W 14TH
RIFLE, CO 81650
Garfield County (970) 625-5200
DANIELLE ALLYSON YOST RN
Registered Nurse
195 W 14TH
RIFLE, CO 81650
Garfield County (970) 625-5200
MS. JEANNE MARIA MERLONI RDH
Dental Hygienist
195 W 14TH
RIFLE, CO 81650
Garfield County (970) 625-5200
JAMES WILLIAM KOLB
Registered Nurse
195 W 14TH
RIFLE, CO 81650
Garfield County (970) 625-7200
SHANNON ORR
Dental Hygienist
195 W 14TH
RIFLE, CO 81650
Garfield County (970) 625-5200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shasta Kellerby's NPI number?

The NPI number for Shasta Kellerby is 1417228404. It was assigned to this individual provider in the NPPES registry on January 23, 2012.

Where is Shasta Kellerby located?

Shasta Kellerby practices at 195 W 14th, Rifle, CO 81650. The listed phone number is (970) 625-5200.

What is Shasta Kellerby's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Shasta Kellerby was last updated on January 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.