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JORDAN CAMPBELL DDS
NPI 1194257022
Dentist - Oral and Maxillofacial Surgery in Prescott, AZ

Active since March 30, 2017Opted out of Medicare · through Apr 6, 2027
3185 CLEARWATER DR STE B, PRESCOTT, AZ 86305(928) 775-2545 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 20, 2018, Mar 30, 2017 (2 updates tracked since 2017).

About Jordan Campbell Dds NPPES

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

JORDAN CAMPBELL DDS (NPI 1194257022) is an individual oral and maxillofacial surgery provider in Prescott, Arizona, licensed in Arizona (D011290) and active in the NPI registry since March 2017. He has opted out of Medicare through April 6, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1194257022
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameJORDAN CAMPBELLCredential: DDS
Location Address3185 CLEARWATER DR STE BPrescott, AZ 86305-7119
Mailing Address777 S Lakeview DrPrescott, AZ 86301-6625 · (801) 682-9739
Phone(928) 775-2545
Sole ProprietorNo
Enumeration DateMarch 30, 2017
Last NPPES UpdateJanuary 31, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2023
✔ NPI 1194257022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in AZ · D011290
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.
3185 CLEARWATER DR STE B, Prescott, AZ 86305
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Jordan Campbell Dds 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 April 6, 2023 through April 6, 2027.

Opt-Out Effective DateApril 6, 2023
Opt-Out In Effect ThroughApril 6, 2027Opt-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 86305 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

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 Jordan Campbell's NPI number?

The NPI number for Jordan Campbell is 1194257022. It was assigned to this individual provider in the NPPES registry on March 30, 2017.

Where is Jordan Campbell located?

Jordan Campbell practices at 3185 Clearwater Dr Ste B, Prescott, AZ 86305. The listed phone number is (928) 775-2545.

What is Jordan Campbell's specialty?

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

Is Jordan Campbell enrolled in Medicare?

No. Jordan Campbell has opted out of Medicare through April 6, 2027. 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.

What insurance does Jordan Campbell accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross Blue Shield of Arizona and Blue Cross and Blue Shield of Alabama and 14 other insurers list Jordan Campbell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jordan Campbell was last updated on January 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.