Nicholas Stephen Feller, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.030013 Issued in IL

Practice address

1140 Rickard Rd Ste B
Springfield, IL 62704-6387

Phone

(217) 787-8788

Fax

(217) 787-0178

NPI assigned

Aug 15, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Santarelli & Feller Dental Group

  • Dentist
  • Springfield, IL
  • NPI 1598263345
  NPD (past) Authorized official

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1871992701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 RICKARD RD STE B",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627046387",
            "telephone_number": "217-787-8788",
            "fax_number": "217-787-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 RICKARD RD STE B",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627046387",
            "telephone_number": "217-787-8788",
            "fax_number": "217-787-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELLER",
        "first_name": "NICHOLAS",
        "middle_name": "STEPHEN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.030013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayne K Fedor, P.A.C.
• James Feimster, MD
• Samuel J. Feinberg, M.D.
• Jill R. Feldman-Huber, CRNA
• Stacy Lynn Feldmann, MS, ATC
• Nida Naeem Khan Feller, MD
• Kara Michelle Fellers, APRN
• Olivia Nicole Felts
• Emily Ann Fendrich, PA-C
• Kelly Feng, MD

• General Practice Dentistry in Springfield, IL
• Providers in Springfield, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.