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DR. DAVID ROSS TENHULZEN MD DMD
NPI 1194896548
Dentist - Oral and Maxillofacial Surgery in Tualatin, OR

Active since November 09, 2006Opted out of Medicare · through Aug 28, 2026
6464 SW BORLAND RD, STE D3, TUALATIN, OR 97062(503) 692-5654(503) 692-9220 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. David Ross Tenhulzen Md Dmd NPPES

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

DR. DAVID ROSS TENHULZEN MD DMD (NPI 1194896548) is an individual oral and maxillofacial surgery provider in Tualatin, Oregon, licensed in Oregon (D6314) and active in the NPI registry since November 2006. He has opted out of Medicare through August 28, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1194896548
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. DAVID ROSS TENHULZENCredential: MD DMD
Location Address6464 SW BORLAND RD, STE D3Tualatin, OR 97062
Mailing Address6464 Sw Borland Rd, Ste D3Tualatin, OR 97062 · (503) 692-5654 · Fax (503) 692-9220
Phone(503) 692-5654
Fax(503) 692-9220
Sole ProprietorNo
Enumeration DateNovember 9, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1194896548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in OR · D6314
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License MD13968 (OR)
6464 SW BORLAND RD, Tualatin, OR 97062
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. David Ross Tenhulzen Md Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 28, 2012 through August 28, 2026.

Opt-Out Effective DateAugust 28, 2012
Opt-Out In Effect ThroughAugust 28, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97062 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

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

ELIZABETH THOMASON KUTELLA MD
Radiology (Diagnostic Radiology)
6464 SW BORLAND RD, STE A-4
TUALATIN, OR 97062
Washington County (503) 692-5737
DR. DEBORAH ANN CHERACHANKO D.C.
Chiropractor (Radiology)
6464 SW BORLAND RD, SUITE A-2
TUALATIN, OR 97062
Washington County (503) 563-5055
JUANITA GARNOW CRNA
Nurse Anesthetist, Certified Registered
6464 SW BORLAND RD, SUITE A3
TUALATIN, OR 97062
Washington County (971) 404-3366
AARON DANIEL GORIN MD
Specialist
6464 SW BORLAND RD, SUITE B1
TUALATIN, OR 97062
Washington County (503) 692-4880
FRANK S. ROSENBLOOM, M.D. PC
Internal Medicine
6464 SW BORLAND RD, SUITE B2
TUALATIN, OR 97062
Washington County (503) 692-5250
TAMMY LEIGH WILSON PA-C
Physician Assistant
6464 SW BORLAND RD, SUITE C-4
TUALATIN, OR 97062
Washington County (503) 885-7770
CASCADE OCCUPATIONAL MEDICINE PHYSICIANS INC
Clinic/Center (Occupational Medicine)
6464 SW BORLAND RD, SUITE B5
TUALATIN, OR 97062
Washington County (503) 885-8793
MR. GARY OWINGS RPH
Pharmacist
6464 SW BORLAND RD, B3
TUALATIN, OR 97062
Washington County (503) 692-4446

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 David Tenhulzen's NPI number?

The NPI number for David Tenhulzen is 1194896548. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Where is David Tenhulzen located?

David Tenhulzen practices at 6464 SW Borland Rd Ste D3, Tualatin, OR 97062. The listed phone number is (503) 692-5654.

What is David Tenhulzen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is David Tenhulzen enrolled in Medicare?

No. David Tenhulzen has opted out of Medicare through August 28, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for David Tenhulzen was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.