Individual provider Active NPI

Charles Baker Felts III, D.D.S., M.S.D.

  • Dentist
  • Chattanooga, TN
National Provider Identifier
1386640704
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS3107 Issued in TN
Practice address
102 Walnut St
Chattanooga, TN 37403-1121
Phone
(423) 756-2450
NPI assigned
Jun 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS3107 TN Primary

Addresses

Primary practice location

102 Walnut St
Chattanooga, TN 37403-1121

Mailing address

102 Walnut St
Chattanooga, TN 37403-1121
Phone (423) 756-2450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS3107TNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Periodontics & Dental Implants, PC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1386640704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WALNUT ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374031121",
            "telephone_number": "423-756-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WALNUT ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374031121",
            "telephone_number": "423-756-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELTS",
        "first_name": "CHARLES",
        "middle_name": "BAKER",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.D.S., M.S.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS3107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 13, 2026; 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.