Individual provider Active NPI

Sonia Spadafora, DMD

  • Dentist
  • Reading, PA
National Provider Identifier
1245076405
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS044767 Issued in PA
Practice address
1110 Rockland St
Reading, PA 19604-1501
Phone
(610) 988-4838
NPI assigned
Jul 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS044767 PA Primary

Addresses

Primary practice location

1110 Rockland St
Reading, PA 19604-1501

Mailing address

4400 Crossings Blvd # B305
Lancaster, PA 17601-2059
Phone (484) 794-8018

Other practice location 1

304 N Water St
Lancaster, PA 17603-3374
Phone (717) 299-6371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240905000293 PA Practitioner - Dentist 3577003565 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS044767PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Union Community Care Current Accepting new patients
Union Community Care CurrentSince Jan 28, 2025 Accepting new patients
Union Community Care CurrentSince Jan 28, 2025 Accepting new patients

Locations

304 N Water St
Lancaster, PA 17603
Phone (717) 299-6372

625 S Duke St
Lancaster, PA 17602
Phone (717) 299-6372

435 S Kinzer Ave
Ste 6
New Holland, PA 17557
Phone (717) 351-2400

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1720224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1245076405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 CROSSINGS BLVD # B305",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012059",
            "telephone_number": "484-794-8018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 ROCKLAND ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "196041501",
            "telephone_number": "610-988-4838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 N Water St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176033374",
            "country_code": "US",
            "telephone_number": "717-299-6371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPADAFORA",
        "first_name": "SONIA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-06",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS044767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

Verify at the official NPI Registry.