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DR. SONIA SPADAFORA DMD
NPI 1245076405
Dentist in Reading, PA

Active since July 06, 2024PECOS Enrolled
1110 ROCKLAND ST, READING, PA 19604(610) 988-4838 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 12, 2025, Jul 6, 2024 (2 updates tracked since 2024).

About Dr. Sonia Spadafora Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SONIA SPADAFORA DMD (NPI 1245076405) is an individual dentist in Reading, Pennsylvania, licensed in Pennsylvania (DS044767) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lancaster.

NPPES Registry Identity

NPI1245076405
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. SONIA SPADAFORACredential: DMD
Location Address1110 ROCKLAND STReading, PA 19604-1501
Mailing Address4400 Crossings Blvd # B305Lancaster, PA 17601-2059 · (484) 794-8018
Phone(610) 988-4838
Sole ProprietorNo
Enumeration DateJuly 6, 2024
Last NPPES UpdateFebruary 12, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2025
✔ NPI 1245076405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in PA · DS044767
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1110 ROCKLAND ST, Reading, PA 19604
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Secondary Practice Location 1

Location 1304 N Water StLancaster, PA 17603-3374 · Phone (717) 299-6371

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware 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)

Dr. Sonia Spadafora Dmd 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 Sonia Spadafora reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Union Community Care
15 mi
Federally Qualified Health Center (FQHC)
240 MAIN ST STE A
Denver, PA 17517
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 94 clinicians in this Medicare group
NPI 1578024196 (717) 299-6371

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 19604 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JIYOUNG CHOI KIM CRNP
Nurse Practitioner (Primary Care)
1110 ROCKLAND ST
READING, PA 19604
Berks County (610) 988-4838
JESSICA AGNES CONNER CRNP
Nurse Practitioner
1110 ROCKLAND ST
READING, PA 19604
Berks County (610) 988-4838
DR. BLENKELL ANTWI BAAH-WILLIAMS PHARMD
Pharmacist
1110 ROCKLAND ST
READING, PA 19604
Berks County (610) 988-4838
MADUABUCHI PRINCE GABRIEL CRNP FNP-C
Nurse Practitioner (Family)
1110 ROCKLAND ST
READING, PA 19604
Berks County (071) 743-4060
LINDSEY MAUREEN JACKSON FNP-BC
Nurse Practitioner (Family)
1110 ROCKLAND ST
READING, PA 19604
Berks County (610) 988-4838
MANIFAY HAJALLIE SESAY
Family Medicine
1110 ROCKLAND ST
READING, PA 19604
Berks County (610) 988-4838
UNION COMMUNITY CARE
Clinic/Center (Federally Qualified Health Center (FQHC))
1110 ROCKLAND ST
READING, PA 19604
Berks County (717) 299-6371
BERKS COMMUNITY HEALTH CENTER
Pharmacy
1110 ROCKLAND ST
READING, PA 19604
Berks County (610) 988-3848

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 Sonia Spadafora's NPI number?

The NPI number for Sonia Spadafora is 1245076405. It was assigned to this individual provider in the NPPES registry on July 6, 2024.

Where is Sonia Spadafora located?

Sonia Spadafora practices at 1110 Rockland St, Reading, PA 19604. The listed phone number is (610) 988-4838.

What is Sonia Spadafora's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Sonia Spadafora enrolled in Medicare?

Yes. Sonia Spadafora is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sonia Spadafora's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sonia Spadafora reassigns Medicare benefits to Union Community Care (Denver, PA). 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 Sonia Spadafora's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sonia Spadafora accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Anthem Blue Cross and Blue Shield and BEST Life and 10 other insurers list Sonia Spadafora 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 Sonia Spadafora was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.