JORDAN RICHARD OVERSTREET
NPI 1417611716
Dentist in Mesa, AZ

Q: What is Jordan Overstreet's NPI number?

The NPI number for Jordan Overstreet is 1417611716. It was assigned to this individual provider in the NPPES registry on October 24, 2021.

Q: What is Jordan Overstreet's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Overstreet was last updated on October 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 24, 2021PECOS Enrolled

3325 E HUBER ST, MESA, AZ 85213(480) 444-8749 Get Directions Write a Review

NPPES record last updated: October 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jordan Richard Overstreet NPPES

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

JORDAN RICHARD OVERSTREET (NPI 1417611716) is an individual dentist in Mesa, Arizona, licensed in Arizona (D011103) and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417611716

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameJORDAN RICHARD OVERSTREET

Location Address3325 E HUBER STMesa, AZ 85213-5578

Mailing Address3325 E Huber StMesa, AZ 85213-5578 · (480) 444-8749

Phone(480) 444-8749

Sole ProprietorNo

Enumeration DateOctober 24, 2021

NPPES CertifiedOctober 24, 2021

✔ NPI 1417611716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in AZ · D011103

Definition

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.

3325 E HUBER ST, Mesa, AZ 85213

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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, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan Richard Overstreet is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85213 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 Overstreet's NPI number?

The NPI number for Jordan Overstreet is 1417611716. It was assigned to this individual provider in the NPPES registry on October 24, 2021.

Where is Jordan Overstreet located?

Jordan Overstreet practices at 3325 E Huber St, Mesa, AZ 85213. The listed phone number is (480) 444-8749.

What is Jordan Overstreet's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jordan Overstreet enrolled in Medicare?

Yes. Jordan Overstreet is registered in the Medicare PECOS enrollment system.

What insurance does Jordan Overstreet accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Jordan Overstreet 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 Overstreet was last updated on October 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.