Organization Active NPI

Agritelley Inc.

Doing business as T Bar M Racquet Club

  • Sports Physician Chiropractor
  • Dallas, TX
National Provider Identifier
1396883724
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
9065 Issued in TX
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8K8669OtherTXBCBS

Other names 1

  • T Bar M Racquet Club Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.