Active NPI
Callie Beth McIntire, DDS
- Dentist
- Dyersburg, TN
National Provider Identifier
1508616293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12725
- Practice address
- 375 US Highway 51 Byp W
Dyersburg, TN 38024-1930 - Phone
- (731) 445-5229
- NPI assigned
- Mar 25, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12725 | TN | Primary |
Addresses
Primary practice location
375 US Highway 51 Byp W
Dyersburg, TN 38024-1930
Mailing address
375 US Highway 51 Byp W
Dyersburg, TN 38024-1930
Phone (731) 445-5229
Other names 1
- Callie Beth Elgin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240703000766 | AR | Order and Referring Only - Dentist | 6800330630 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753920000000",
"number": "1508616293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 US HIGHWAY 51 BYP W",
"city": "DYERSBURG",
"state": "TN",
"postal_code": "380241930",
"telephone_number": "731-445-5229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 US HIGHWAY 51 BYP W",
"city": "DYERSBURG",
"state": "TN",
"postal_code": "380241930",
"telephone_number": "731-445-5229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTIRE",
"first_name": "CALLIE",
"middle_name": "BETH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-25",
"last_updated": "2025-07-31",
"certification_date": "2025-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "12725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CALLIE",
"last_name": "ELGIN",
"middle_name": "BETH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dyersburg, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.