Ismile Tucson, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9197 Issued in AZ

Legal business name

ISMILE TUCSON, LLC

Doing business as

Tucson Mountain Dental

Practice address

1102 N El Dorado PL
Tucson, AZ 85715-4606

Phone

(520) 514-7400

NPI assigned

Aug 24, 2016

Last updated

Apr 23, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shatoya Rodriguez

Title

Ar Specialist

Phone

(520) 514-7400

Specialties & licenses 1

Addresses

Other names 1

• Tucson Mountain Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Ryan Spillers, D.D.S.

  • Dentist
  • Tucson, AZ
  • NPI 1528346301

  General Practice

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776902400000",
    "number": "1063967651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 N EL DORADO PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857154606",
            "telephone_number": "520-514-7400",
            "fax_number": "520-514-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 N EL DORADO PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857154606",
            "telephone_number": "520-514-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISMILE TUCSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-24",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "SHATOYA",
        "authorized_official_title_or_position": "AR SPECIALIST",
        "authorized_official_telephone_number": "520-514-7400"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "9197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tucson Mountain Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ahmed Ishag
• Jon Ishii, M.D.
• Mariah Desiree Islas, NP
• Issa Ismail, DO
• Ismile CMS
• Jennifer Isom, LMFT
• Promise A Iteinjoh, PMHNP-BC
• Ajit Itty, M.D.
• Gustavo Mauricio Iturralde Arriaga, FNP-C
• Charlotte Iurino, PHD

• General Practice Dentistry in Tucson, AZ
• Providers in Tucson, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.