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

Q: 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.

Q: What is Jessica Raldiris's specialty?

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

Q: 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 15 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.

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: October 25, 2026.

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

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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 and maintains 5 additional practice locations.

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

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

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Secondary Practice Locations 5

Location 1716 N Country Club RdTucson, AZ 85716-4506 · Phone (520) 326-8516

Location 24566 N 1st Ave Ste 150Tucson, AZ 85718-5680 · Phone (520) 326-8516

Location 310520 N La Canada DrOro Valley, AZ 85737-7010 · Phone (520) 326-8516

Location 41852 N Mastick WayNogales, AZ 85621-1063 · Phone (520) 761-2128 · Fax (520) 761-2159

Location 56422 E Speedway Blvd Ste 140Tucson, AZ 85710-1148 · 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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Ventenilla Raldiris Dmd, Mph 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.

Medicare Billing Reassignment

Medicare enrollment records show Jessica Raldiris reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mariposa Community Health Center, Inc

44 mi

Federally Qualified Health Center (FQHC)

2221 E FRONTAGE RD STE 101, BLDG G-STE 101/BLDG F-STE 104
Tubac, AZ 85646

Reassigned Medicare billing, Arizona enrollment
60 clinicians in this Medicare group

NPI 1578922787 (520) 281-1550

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Jessica Raldiris's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Raldiris reassigns Medicare benefits to Mariposa Community Health Center, Inc (Tubac, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Raldiris's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 12 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 15 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.