Dr. Dmitry Keysalov , DDS
Dentist β’ Tualatin, OR
7017 Sw Nyberg St
Tualatin, OR 970626243
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
7017 Sw Nyberg St
Tualatin, OR 970626243
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Dentist: NPPES taxonomy is a reported classification, not proof of board certification.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019β2025.
NPI first issued
2017
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Keysalov has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Keysalov as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Tualatin and Oregon
13 active clinicians are listed under Dentist with a practice address in Tualatin, OR (1,248 in Oregon).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Tualatin
0% of these 13 clinicians have the CMS telehealth indicator.
0% of these 13 clinicians are listed by CMS as accepting Medicare assignment.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2024-10-09NUCC Taxonomy Code: 122300000X
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSORDER AND REFERRING ONLY - DENTIST
I20250815001729
OR
5799284949
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Dentist
Doctor of Dental Medicine
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 7017 SW NYBERG ST, TUALATIN, OR 970626243 (Tel: 5036128736)
Registered at 6682 SW BRISBAND ST, WILSONVILLE, OR 970706905 (Tel: 7579956725)
Dentist (license number reported to NPPES: OR D11923)
Registered at 9605 GRAND RONDE RD, GRAND RONDE, OR 973479712 (Tel: 5038792020)
NPI status registered as active in NPPES database
Registered at 1074 GRAND OAK LN, VIRGINIA BEACH, VA 234557218 (Tel: 6467251252)
Registered at 1074 GRAND OAK LN, VIRGINIA BEACH, VA 234557218 (Tel: 6467251252)
Recorded as DMITRY KEYSALOV, DDS
Dentist (license number reported to NPPES: VA 0401415490)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Dentists in Tualatin
- Dr. Kirstin Strom, DMD
- Dr. Danny Sadakah, DMD
- Dr. Amanda Gallegos, DMD
- Dr. Heather Weber, DDS
- Dr. Austin Todd, DDS
- Dr. Bryan Euzent, DDS
Mailing Address
6682 Sw Brisband St
Wilsonville, OR 970706905
Phone: 7579956725