Active NPI
Agritelley Inc.
Doing business as T Bar M Racquet Club
- Sports Physician Chiropractor
- Dallas, TX
National Provider Identifier
1396883724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 9065
- Legal business name
- AGRITELLEY INC.
- Doing business as
- T Bar M Racquet Club
- Practice address
- 6060 Dilbeck LN
Dallas, TX 75240-5351 - Phone
- (469) 916-1592
- Fax
- (972) 458-6829
- NPI assigned
- Feb 1, 2007
- Last updated
- Jan 24, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Camille Catherine Eberle, D.C.
- Title
- Chiropractor
- Phone
- (469) 916-1592
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 10258 | TX | |
| Sports Physician Chiropractor | 111NS0005X | 9065 | TX | Primary |
| Physical Therapist | 225100000X | 1153020 | TX |
Addresses
Primary practice location
6060 Dilbeck LN
Dallas, TX 75240-5351
Mailing address
6060 Dilbeck LN
Dallas, TX 75240-5351
Phone (469) 916-1592
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8K8669 | Other | TX | BCBS |
Other names 1
- T Bar M Racquet Club
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Dallas, TX
- NPI 1376715904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201132800000",
"number": "1396883724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6060 DILBECK LN",
"city": "DALLAS",
"state": "TX",
"postal_code": "752405351",
"telephone_number": "469-916-1592",
"fax_number": "972-458-6829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6060 DILBECK LN",
"city": "DALLAS",
"state": "TX",
"postal_code": "752405351",
"telephone_number": "469-916-1592",
"fax_number": "972-458-6829"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AGRITELLEY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-01",
"last_updated": "2008-01-24",
"status": "A",
"authorized_official_last_name": "EBERLE",
"authorized_official_first_name": "CAMILLE",
"authorized_official_middle_name": "CATHERINE",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "469-916-1592",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "10258",
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "TX",
"license": "9065",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1153020",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8K8669",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "T Bar M Racquet Club",
"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 Jan 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.