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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JORDAN RAFFERTY D.M.D
NPI 1972395713
Dentist in Victoria, VA

Active since May 19, 2025PECOS Enrolled
1418 6TH ST, VICTORIA, VA 23974(434) 696-4180 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 3, 2026, May 19, 2025 (2 updates tracked since 2025).

About Dr. Jordan Rafferty D.m.d NPPES

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

DR. JORDAN RAFFERTY D.M.D (NPI 1972395713) is an individual dentist in Victoria, Virginia, licensed in Virginia (0401419886) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972395713
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JORDAN RAFFERTYCredential: D.M.D
Location Address1418 6TH STVictoria, VA 23974
Mailing Address1418 6th StVictoria, VA 23974 · (434) 696-4180
Phone(434) 696-4180
Sole ProprietorNo
Enumeration DateMay 19, 2025
Last NPPES UpdateAugust 3, 20262 updates tracked since enumeration
NPPES CertifiedAugust 3, 2026
✔ NPI 1972395713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in VA · 0401419886
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.
1418 6TH ST, Victoria, VA 23974
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jordan Rafferty D.m.d 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 23974 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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 Rafferty's NPI number?

The NPI number for Jordan Rafferty is 1972395713. It was assigned to this individual provider in the NPPES registry on May 19, 2025.

Where is Jordan Rafferty located?

Jordan Rafferty practices at 1418 6th St, Victoria, VA 23974. The listed phone number is (434) 696-4180.

What is Jordan Rafferty's specialty?

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

Is Jordan Rafferty enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jordan Rafferty was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.