Individual provider Active NPI

Sharon Patricia Feller, DDS, FAGD

  • General Practice Dentistry
National Provider Identifier
1912900390
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4832 Issued in AR
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5033857MedicaidWA

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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
DE8376WAMDGeneral Practice Dentistry
4832ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Health Associates of Arkansas, P.a. General Practice PastSince Jun 3, 2025 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.

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

Verify at the official NPI Registry.