Crystal Kelso, DMD
NPI 1790138642 · General Practice Dentistry · Bend, OR
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Crystal Kelso, DMD is a General Practice Dentistry provider in Bend, OR (NPI 1790138642).
Provider details
- NPI number
- 1790138642
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- License
- D10498 (OR)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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.
Practice location
Mailing address
Additional practice locations (1)
- 1105 Se Jetty Ave#bLincoln City, OR 97367-2632Phone: (855) 433-6825
Registry dates
- Enumerated
- 2016-07-15
- Last updated
- 2024-09-27
- Certified
- 2024-09-27
Frequently asked questions
- What is Crystal Kelso's NPI number?
- Crystal Kelso's National Provider Identifier (NPI) is 1790138642, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Crystal Kelso's specialty?
- Crystal Kelso is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Crystal Kelso located?
- Crystal Kelso's practice location on file with NPPES is 62968 Ob Riley Rd Ste 12, Bend, OR 97703-9443.
- What is Crystal Kelso's phone number?
- The practice phone number listed in the NPPES registry for Crystal Kelso is (855) 433-6825.
- Does Crystal Kelso accept Medicare?
- Crystal Kelso is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Crystal Kelso's NPI active?
- Yes — Crystal Kelso's NPI (1790138642) is active in the NPPES registry as of the last update on 2024-09-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.