Provider Demographics
NPI:1588549992
Name:HASTINGS, CHELSI (RDH, OMT)
Entity type:Individual
Prefix:
First Name:CHELSI
Middle Name:
Last Name:HASTINGS
Suffix:
Gender:F
Credentials:RDH, OMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34428 COUNTY RD W
Mailing Address - Street 2:
Mailing Address - City:HILLROSE
Mailing Address - State:CO
Mailing Address - Zip Code:80733-9609
Mailing Address - Country:US
Mailing Address - Phone:970-571-0112
Mailing Address - Fax:
Practice Address - Street 1:34428 COUNTY RD W
Practice Address - Street 2:
Practice Address - City:HILLROSE
Practice Address - State:CO
Practice Address - Zip Code:80733-9609
Practice Address - Country:US
Practice Address - Phone:970-571-0112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4493124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist