Organization Active NPI

Scenic City Oral Surgery, PLLC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Hixson, TN
National Provider Identifier
1912790312
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
Legal business name
SCENIC CITY ORAL SURGERY, PLLC
Practice address
2835 Northpoint Blvd Ste 105
Hixson, TN 37343-4862
Phone
(423) 877-3848
NPI assigned
May 28, 2025
Last updated
May 28, 2025By the provider in NPPES
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
Charles Baker Felts IV, DDSNPI 1720472855
Title
Owner, Surgeon
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 & Maxillofacial Surgery (D.M.D.) 204E00000X Primary

Addresses

Primary practice location

2835 Northpoint Blvd Ste 105
Hixson, TN 37343-4862

Mailing address

2835 Northpoint Blvd Ste 105
Hixson, TN 37343-4862
Phone (423) 877-3848

National Provider Directory

National Provider Directory

Locations

2835 Northpoint Blvd
Ste 105
Hixson, TN 37343
Phone (423) 645-7627

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1912790312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 NORTHPOINT BLVD STE 105",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434862",
            "telephone_number": "423-877-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 NORTHPOINT BLVD STE 105",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434862",
            "telephone_number": "423-877-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCENIC CITY ORAL SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-28",
        "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": "BAKER",
        "authorized_official_title_or_position": "OWNER, SURGEON",
        "authorized_official_telephone_number": "423-541-5700",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hixson, 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.