Charles Baker Felts IV, D.D.S.

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

DS0000010713 Issued in TN

Practice address

901 Riverfront Pkwy Ste 202
Chattanooga, TN 37402-2193

Phone

(423) 541-5700

Fax

(423) 541-5705

NPI assigned

Mar 26, 2015

Last updated

May 28, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 5, 2026 through Feb 5, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Riverbend Oral Surgery, LLC

  dba Riverbend Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Chattanooga, TN
  • NPI 1356902639
  NPD Authorized official
• Scenic City Oral Surgery, PLLC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Hixson, TN
  • NPI 1912790312
  NPD Authorized official

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1720472855",
    "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": "374022193",
            "telephone_number": "423-541-5700",
            "fax_number": "423-541-5705"
        },
        {
            "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": "374022193",
            "telephone_number": "423-541-5700",
            "fax_number": "423-541-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELTS",
        "first_name": "CHARLES",
        "middle_name": "BAKER",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-26",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "DS0000010713",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TN",
            "license": "DS0000010713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Rebekah Feely
• Theodore A Feintuch, MD
• Kathleen Cosgriff Feldmeier, LPC LADAC
• Nancy Fell, PT, PHD, NCS
• Charles Baker Felts III, D.D.S., M.S.D.
• Haley Dawn Felts
• Jonathan Edward Felts, RN
• Kimberly O'Dell Felts, MD
• Megan Felts, FNP-C
• Courtney Shelton Ferguson, LPC-MHSP

• Oral & Maxillofacial Surgery (D.M.D.) in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Tennessee

• 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.
• 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.

Verify at the official NPI Registry.