Organization Active NPI

Riverbend Oral Surgery, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Chattanooga, TN
National Provider Identifier
1356902639
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
RIVERBEND ORAL SURGERY, LLC
Practice address
901 Riverfront Pkwy Ste 202
Chattanooga, TN 37402-2196
Phone
(423) 541-5700
NPI assigned
Jun 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Authorized official

Name
Dr. Charles B Felts IV, DDSNPI 1720472855
Title
Doctor/Owner
Phone
(423) 541-5700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

901 Riverfront Pkwy Ste 202
Chattanooga, TN 37402-2196

Mailing address

901 Riverfront Pkwy Ste 202
Chattanooga, TN 37402-2196
Phone (423) 541-5700

Other names 1

  • Riverbend Oral Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

901 Riverfront Pkwy
Ste 202
Chattanooga, TN 37402
Phone (423) 541-5700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1356902639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 RIVERFRONT PKWY STE 202",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374022196",
            "telephone_number": "423-541-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 RIVERFRONT PKWY STE 202",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374022196",
            "telephone_number": "423-541-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERBEND ORAL SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-26",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "FELTS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "423-541-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverbend Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Riverbend Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.