Kelly Dezura, D.M.D.
NPI 1306009881 · Oral and Maxillofacial Surgery (Dentist) · Clackamas, OR
Enrolled with Medicare as Practitioner - Maxillofacial Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Dezura, D.M.D. is a Oral and Maxillofacial Surgery (Dentist) provider in Clackamas, OR (NPI 1306009881).
Provider details
- NPI number
- 1306009881
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- D.M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- D9858 (OR)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
17 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Oxycodone Hcl | 62 | 54 |
| Ondansetronbrand: Ondansetron Odt | 45 | 42 |
| Chlorhexidine Gluconate | 42 | 18 |
| Amoxicillin | 21 | 18 |
| Dexamethasone | 14 | — |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 12 | — |
| Lidocaine Hclbrand: Lidocaine Hcl Viscous | 11 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$15 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-07-06
- Last updated
- 2013-08-28
Frequently asked questions
- What is Kelly Dezura's NPI number?
- Kelly Dezura's National Provider Identifier (NPI) is 1306009881, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Dezura's specialty?
- Kelly Dezura is listed in the NPPES registry with a primary specialty of Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Kelly Dezura located?
- Kelly Dezura's practice location on file with NPPES is 10181 Se Sunnyside Rd, Clackamas, OR 97015.
- What is Kelly Dezura's phone number?
- The practice phone number listed in the NPPES registry for Kelly Dezura is (510) 571-4727.
- Does Kelly Dezura accept Medicare?
- Kelly Dezura is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Dezura's NPI active?
- Yes — Kelly Dezura's NPI (1306009881) is active in the NPPES registry as of the last update on 2013-08-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.