Active NPI
Sharon Patricia Feller, DDS, FAGD
- General Practice Dentistry
National Provider Identifier
1912900390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4832
- Practice address
- US Naval Hospital
Via Contrada Boscariello
Gricignano Di Aversa, CE 81030
IT - Phone
- (081) 811-6000
- NPI assigned
- May 31, 2005
- Last updated
- May 29, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE8376 | WA | |
| General Practice Dentistry | 1223G0001X | 4832 | AR | Primary |
Addresses
Primary practice location
US Naval Hospital
Via Contrada Boscariello
Gricignano Di Aversa, CE 81030
IT
Mailing address
230 N Elmira Ave
Russellville, AR 72802-9617
Phone (479) 280-1920
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5033857 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 3, 2015 through Jul 3, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE8376 | WA | MD | General Practice Dentistry |
| 4832 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Health Associates of Arkansas, P.a. | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Russellville Dental Group
- General Practice Dentistry
- Russellville, AR
- NPI 1295155158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748476800000",
"number": "1912900390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 N ELMIRA AVE",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728029617",
"telephone_number": "479-280-1920"
},
{
"country_code": "IT",
"country_name": "Italy",
"address_purpose": "LOCATION",
"address_type": "FGN",
"address_1": "US NAVAL HOSPITAL",
"address_2": "VIA CONTRADA BOSCARIELLO",
"city": "GRICIGNANO DI AVERSA",
"state": "CE",
"postal_code": "81030",
"telephone_number": "081-811-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELLER",
"first_name": "SHARON",
"middle_name": "PATRICIA",
"name_prefix": "Dr.",
"credential": "DDS, FAGD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-31",
"last_updated": "2025-05-29",
"certification_date": "2025-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE8376",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AR",
"license": "4832",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5033857",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.