Individual provider Active NPI

Camille Catherine Reagan, DC

  • Sports Physician Chiropractor
  • Dallas, TX
National Provider Identifier
1215113451
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
9065 Issued in TX
Practice address
13396 Preston Rd
Dallas, TX 75240-5208
Phone
(972) 503-7272
Fax
(413) 280-8766
NPI assigned
Jan 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 9065 TX Primary

Addresses

Primary practice location

13396 Preston Rd
Dallas, TX 75240-5208

Mailing address

13396 Preston Rd
Dallas, TX 75240-5208
Phone (972) 503-7272

Other practice location 1

5930 Preston View Blvd
Dallas, TX 75240-4766
Phone (972) 503-7272

Other identifiers 3

IdentifierTypeStateIssuer
1194908210OtherTXGROUP NPI
0016QUOtherTXBCBS GROUP NUMBER
8AT940OtherBCBS PROVIDER NUMBER

Other names 1

  • Dr. Camille Catherine Eberle Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140512000630 TX Practitioner - ChiropracticPractitioner - Sports Medicine 9830322148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Sports Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ri Sports Medicine PLLCGroup PAC ID 2567885189, 7 clinicians

Practice addresses (Care Compare)

13396 Preston Rd
Dallas, TX 75240-5208

5930 Preston View Blvd
Dallas, TX 75240-4766
Phone (972) 503-7272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9065TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ri Sports Medicine PLLC CurrentSince Jan 30, 2020 Accepting new patients

Locations

13396 Preston Rd
Dallas, TX 75240
Phone (972) 503-7272

5930 Preston View Blvd
Dallas, TX 75240
Phone (972) 503-7272

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": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1215113451",
    "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",
            "telephone_number": "972-503-7272",
            "fax_number": "413-280-8766"
        },
        {
            "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": "972-503-7272",
            "fax_number": "413-280-8766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5930 Preston View Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752404766",
            "country_code": "US",
            "telephone_number": "972-503-7272",
            "fax_number": "972-851-7950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REAGAN",
        "first_name": "CAMILLE",
        "middle_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-17",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "9065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1194908210",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "0016QU",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "8AT940",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAMILLE",
            "last_name": "EBERLE",
            "middle_name": "CATHERINE",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.