Sandra Kathleen Hofer, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

055142 Issued in NY

Practice address

151 Bowne Dr
Walden, NY 12586-2832

Phone

(845) 481-7014

NPI assigned

Jan 4, 2013

Last updated

Jan 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Esopus Medical, PC

  • Family Medicine Physician
  • Rifton, NY
  • NPI 1295701787
  NPD
• Oak Valley Medical & Dental, PC

  • General Practice Dentistry
  • Farmington, PA
  • NPI 1447493457
  NPD (past)
• Oak Valley Medical & Dental, PC

  • Family Medicine Physician
  • Farmington, PA
  • NPI 1740267558
  NPD (past)

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

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1740527241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SPRING VALLEY RD",
            "city": "FARMINGTON",
            "state": "PA",
            "postal_code": "154371390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 BOWNE DR",
            "city": "WALDEN",
            "state": "NY",
            "postal_code": "125862832",
            "telephone_number": "845-481-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFER",
        "first_name": "SANDRA",
        "middle_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-04",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS038194",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "055142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06052886",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Heisey
• Kristen Margaret Hergenhan
• William Valentin Herrmann, DDS
• Albert P Hirdt
• Jacob Heinz Hofer, MD
• Mary Ellen Holmes, RN
• Carolyn Hough, RDH
• Veronica Huie-Roman
• Ibrahim Sayeed Dental, P.C. (Walden Dental NY)
• Judith J Johnson, REGISTERED NURSE

• General Practice Dentistry in Walden, NY
• Providers in Walden, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.