Active NPI
Sonia Spadafora, DMD
- Dentist
- Reading, PA
National Provider Identifier
1245076405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS044767
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240905000293 | PA | Practitioner - Dentist | 3577003565 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS044767 | PA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Community Care | Current | Accepting new patients | |
| Union Community Care | Current | Accepting new patients | |
| Union Community Care | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Lancaster, PA
- NPI 1366496416
-
- Federally Qualified Health Center (FQHC)
- Lancaster, PA
- NPI 1417812710
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
- Antonio E. Sotomayor, M.D.
- Chelsey B Sotomayor, PA-C
- Southeastern Berks Internal Medicine Associates,LTD
- Southern Berks Family Medicine, PC
- Southern Berks Regional Emergency Medical Services
- Haley Christine Walsh Spagnola, D.O.
- Spark ABA LLC
- Spark Orthodontics
- Ruth W Speicher
- Pamela C Spellman, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.