NPIMap

Organization Active NPI

Ri Sports Medicine PLLC

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1639799521
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
RI SPORTS MEDICINE PLLC
Practice address
5930 Preston View Blvd
Dallas, TX 75240-4766
Phone
(972) 503-7272
Fax
(972) 851-7950
NPI assigned
Apr 21, 2020
Organization subpart
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

Authorized official

Name
Camille Reagan, DCNPI 1215113451
Title
Owner
Phone
(972) 503-7272

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Occupational Health ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NX0100X

Addresses

Primary practice location

5930 Preston View Blvd
Dallas, TX 75240-4766

Mailing address

13396 Preston Rd Ste 100
Dallas, TX 75240-5208

Other practice location 1

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

Other names 1

  • Reagan Integrated Sports Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200827000257 TX Part B Supplier - Clinic/Group Practice 2567885189 Receives reassigned benefits from 7 practitioners
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

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

13396 Preston Rd
Ste 100
Dallas, TX 75240

Practitioners & affiliated clinicians

Practitioners 7

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": "1587427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1639799521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13396 PRESTON RD STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752405208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5930 PRESTON VIEW BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752404766",
            "telephone_number": "972-503-7272",
            "fax_number": "972-851-7950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13396 Preston Rd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752405208",
            "country_code": "US",
            "telephone_number": "972-503-7272",
            "fax_number": "972-851-7950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RI SPORTS MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-21",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "REAGAN",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-503-7272",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111NX0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Occupational Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reagan Integrated Sports Medicine",
            "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 May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.