Eberle-Reagan, Inc

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

9065 Issued in TX

Legal business name

EBERLE-REAGAN, INC

Practice address

7951 Collin McKinney Pkwy
Ste 1500
McKinney, TX 75070-7823

Phone

(972) 398-6419

NPI assigned

Jul 14, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Camille Catherine Reagan, DC

Title

Owner/Chiropractor

Phone

(972) 503-7272

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Reagan ChiroSport Center Doing business as

Locations

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405296000000",
    "number": "1184031908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13396 PRESTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752405208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7951 COLLIN MCKINNEY PKWY",
            "address_2": "STE 1500",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750707823",
            "telephone_number": "972-398-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBERLE-REAGAN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-14",
        "last_updated": "2014-07-14",
        "status": "A",
        "authorized_official_last_name": "REAGAN",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "972-503-7272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "9065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD GROUP ID",
            "identifier": "0016QU",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reagan ChiroSport Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sports Physician Chiropractor in McKinney, TX
• Providers in McKinney, TX by specialty
• Sports Physician Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; 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.