NPIMap

Organization Active NPI

Eberle-Reagan, Inc

  • Sports Physician Chiropractor
  • Dallas, TX
National Provider Identifier
1194908210
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
9065 Issued in TX
Legal business name
EBERLE-REAGAN, INC
Practice address
13396 Preston Rd
Dallas, TX 75240-5208
Phone
(214) 280-8763
Fax
(972) 851-7950
NPI assigned
Dec 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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
(214) 280-8763

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 10579 TX
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 12077 TX
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 11661 TX
Sports Physician ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NS0005X 9065 TX Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 1153020 TX

Addresses

Primary practice location

13396 Preston Rd
Dallas, TX 75240-5208

Mailing address

5524 Westgrove Dr
Dallas, TX 75248-2031
Phone (214) 280-8763

Other names 1

  • Reagan ChiroSport Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1194908210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5524 WESTGROVE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752482031",
            "telephone_number": "214-280-8763",
            "fax_number": "972-851-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13396 PRESTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752405208",
            "telephone_number": "214-280-8763",
            "fax_number": "972-851-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBERLE-REAGAN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2012-12-06",
        "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": "214-280-8763",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10579",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12077",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11661",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "9065",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1153020",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reagan ChiroSport Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.