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JORDAN A TORTORICH
NPI 1457626806
Dentist - Oral and Maxillofacial Surgery in Little Rock, AR

Active since March 19, 2012Opted out of Medicare · through Jul 1, 2027
4220 N RODNEY PARHAM RD STE 103, LITTLE ROCK, AR 72212(501) 224-8332(501) 219-8003 Get Directions Write a Review

NPPES record last updated: August 7, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 7, 2020, Jul 1, 2019 (2 updates tracked since 2019).

About Jordan A Tortorich NPPES

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

JORDAN A TORTORICH (NPI 1457626806) is an individual oral and maxillofacial surgery provider in Little Rock, Arkansas, licensed in Arkansas (4420) and active in the NPI registry since March 2012. He has opted out of Medicare through July 1, 2027 and remains eligible to order and refer and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1457626806
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameJORDAN A TORTORICH
Location Address4220 N RODNEY PARHAM RD STE 103Little Rock, AR 72212-2466
Mailing Address4220 N Rodney Parham Rd Ste 103Little Rock, AR 72212-2466 · (501) 224-8332 · Fax (501) 219-8003
Phone(501) 224-8332
Fax(501) 219-8003
Sole ProprietorNo
Enumeration DateMarch 19, 2012
Last NPPES UpdateAugust 7, 20202 updates tracked since enumeration
NPPES CertifiedAugust 7, 2020
✔ NPI 1457626806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in AR · 4420✔ Licensed in IA · DDS-09138
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 ListedDentist · General PracticeTaxonomy 1223G0001X · License 40129 (IA)
4220 N RODNEY PARHAM RD STE 103, Little Rock, AR 72212
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Secondary Practice Locations 2

Location 1322 Dental Science Bldg SIowa City, IA 52242-1001 · Phone (319) 335-7440
Location 2835 3rd Ave SECedar Rapids, IA 52403-2407 · Phone (319) 366-8277

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jordan A Tortorich 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 July 1, 2019 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2019
Opt-Out In Effect ThroughJuly 1, 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 72212 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
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.

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 Tortorich's NPI number?

The NPI number for Jordan Tortorich is 1457626806. It was assigned to this individual provider in the NPPES registry on March 19, 2012.

Where is Jordan Tortorich located?

Jordan Tortorich practices at 4220 N Rodney Parham Rd Ste 103, Little Rock, AR 72212. The listed phone number is (501) 224-8332.

What is Jordan Tortorich's specialty?

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

Is Jordan Tortorich enrolled in Medicare?

No. Jordan Tortorich has opted out of Medicare through July 1, 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 Tortorich accept?

Health plans from Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Jordan Tortorich 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 Tortorich was last updated on August 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.