Individual provider Active NPI

Callie Gilbert-Hyma, DMD

  • Dentist
  • Dothan, AL
National Provider Identifier
1497504245
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D.007300-C1 Issued in AL
Practice address
107 Professional LN
Dothan, AL 36303-3875
Phone
(334) 596-9799
NPI assigned
May 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D.007300-C1 AL Primary

Addresses

Primary practice location

107 Professional LN
Dothan, AL 36303-3875

Mailing address

694 Drew Rd
Dothan, AL 36303-6316
Phone (334) 596-9799

Other names 1

  • Callie Gilbert Former name

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
D.007300-C1ALMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Dental Care of Dothan PastSince May 19, 2024 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": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1497504245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "694 DREW RD",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363036316",
            "telephone_number": "334-596-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 PROFESSIONAL LN",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363033875",
            "telephone_number": "334-596-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT-HYMA",
        "first_name": "CALLIE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "D.007300-C1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CALLIE",
            "last_name": "GILBERT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.