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JESSICA VENTENILLA RALDIRIS DMD, MPH
NPI 1467151308
Dentist - Pediatric Dentistry in Tucson, AZ

Active since February 28, 2023PECOS Enrolled
6422 E SPEEDWAY BLVD STE 150, TUCSON, AZ 85710(520) 326-8516(520) 326-8516 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 9, 2025, Mar 14, 2025, Feb 28, 2023 (3 updates tracked since 2023).

About Jessica Ventenilla Raldiris Dmd, Mph NPPES

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

JESSICA VENTENILLA RALDIRIS DMD, MPH (NPI 1467151308) is an individual pediatric dentistry provider in Tucson, Arizona, licensed in Arizona (D012432) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Midwestern University College Of Dental Medicine, Downers Grove (2023).

NPPES Registry Identity

NPI1467151308
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameJESSICA VENTENILLA RALDIRISCredential: DMD, MPH
Location Address6422 E SPEEDWAY BLVD STE 150Tucson, AZ 85710-1149
Mailing Address825 N Grand Ave Ste 100Nogales, AZ 85621-1061 · (520) 375-5032 · Fax (520) 761-2159
Phone(520) 326-8516
Fax(520) 326-8516
Sole ProprietorNo
Medical School CMSMidwestern University College Of Dental Medicine, Downers GroveGraduated 2023
Enumeration DateFebruary 28, 2023
Last NPPES UpdateJuly 29, 20253 updates tracked since enumeration
NPPES CertifiedJuly 29, 2025
✔ NPI 1467151308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in AZ · D012432
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentistTaxonomy 122300000X · License D012432 (AZ)
6422 E SPEEDWAY BLVD STE 150, Tucson, AZ 85710
Open in Google Maps ↗

Secondary Practice Locations 5

Location 110520 N La Canada DrOro Valley, AZ 85737-7010 · Phone (520) 326-8516
Location 21852 N Mastick WayNogales, AZ 85621-1063 · Phone (520) 761-2128 · Fax (520) 761-2159
Location 3716 N Country Club RdTucson, AZ 85716-4506 · Phone (520) 326-8516
Location 46422 E Speedway Blvd Ste 140Tucson, AZ 85710-1148 · Phone (520) 326-8516
Location 54566 N 1st Ave Ste 150Tucson, AZ 85718-5680 · Phone (520) 326-8516

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, 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

✔

Enrolled in Medicare (PECOS)

Jessica Ventenilla Raldiris Dmd, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739680851
PECOS Enrollment IDI20250829003458
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 85710 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.

Other Providers at the Same Location NPPES 3

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

SAGUARO SURGICAL, P C
Specialist
6422 E SPEEDWAY BLVD STE 150
TUCSON, AZ 85710
Pima County (520) 318-3004
BILLI JO KOEPKE RNFA, FNP-C
Registered Nurse (Registered Nurse First Assistant)
6422 E SPEEDWAY BLVD STE 150
TUCSON, AZ 85710
Pima County (520) 318-3004
MS. JULIE CARMEN MOREAU APRN
Nurse Practitioner (Family)
6422 E SPEEDWAY BLVD STE 150
TUCSON, AZ 85710
Pima County (520) 318-3004

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 Jessica Raldiris's NPI number?

The NPI number for Jessica Raldiris is 1467151308. It was assigned to this individual provider in the NPPES registry on February 28, 2023.

Where is Jessica Raldiris located?

Jessica Raldiris practices at 6422 E Speedway Blvd Ste 150, Tucson, AZ 85710. The listed phone number is (520) 326-8516.

What is Jessica Raldiris's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Jessica Raldiris enrolled in Medicare?

Yes. Jessica Raldiris is registered in the Medicare PECOS enrollment system.

What insurance does Jessica Raldiris accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 11 other insurers list Jessica Raldiris 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 Jessica Raldiris was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.