HARRAH FAMILY CHIROPRACTIC, PC (NPI# 1083259204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083259204 |
Entity Type | Organization |
Organization Name | HARRAH FAMILY CHIROPRACTIC, PC |
Practice Address |
19857 Ne 23rd St Ste A Harrah OK 73045-9307 |
Practice Telephone | 4052501984 |
Mailing Telephone | 4052501984 |
Enumeration Date | 2019-11-12 |
Last Update Date | 2019-11-12 |
Authorized Official Name | DR. TYLER KINCAID HADERER (OWNER) |
Authorized Official Telephone | 4052501984 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | Chiropractic Providers |
Street Address |
19857 NE 23RD ST STE A |
City | HARRAH |
State | OK |
Zip Code | 73045-9307 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669974085 | Hunter Denton | Chiropractor | 1069 N. Harrah Rd., Harrah, OK 73045 | 2018-03-01 |
1447643978 | Lakepointe Dental Clinic of Harrah, Inc. | Clinic/Center | 20926 Se 29th St., A, Harrah, OK 73045 | 2015-03-09 |
1295162550 | Harrah Eye Clinic Pllc | Optometrist | 1087 N Harrah Rd, Harrah, OK 73045 | 2013-10-02 |
1568650471 | Eric D Kyrk Dds PC | Clinic/Center | 2405 Cappella Blvd, Harrah, OK 73045 | 2007-10-05 |
1467583245 | Eric D. Kyrk | Dentist | 2405 Cappella Blvd., Harrah, OK 73045 | 2007-03-07 |
1124040290 | Regina Renee Jacobs | Specialist | 19629 Ne 23rd St, Harrah, OK 73045 | 2006-07-24 |
1942368667 | Harrah Pharmacy Inc. | Pharmacy | 2060 N Church, Harrah, OK 73045-0247 | 2006-12-05 |
1023042314 | Harrah Pharmacy Inc. | Pharmacist | 2060 N Church Ave, Harrah, OK 73045-0247 | 2006-07-10 |
1659485118 | Amos Malone | Pharmacist | 2060 N Church Ave, Harrah, OK 73045-0247 | 2006-08-19 |
1346470606 | Michael Steven Reed Jr. | Family Medicine | 2171 Community Pl, Harrah, OK 73045-1118 | 2009-07-21 |
Find all providers in zip 73045 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669974085 | Hunter Denton | Chiropractor | 1069 N. Harrah Rd., Harrah, OK 73045 | 2018-03-01 |
1033122585 | Damon Holt Coffman | Chiropractor | 1083 N Harrah Rd, Harrah, OK 73045-9692 | 2006-08-15 |
1831396589 | Dynamic Health Clinic | Chiropractor | 1083 N Harrah Rd, Harrah, OK 73045-9692 | 2007-06-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093328536 | Christian Minard | Chiropractor | 12110 Ashford Dr Ste 200, Yukon, OK 73099-8759 | 2020-08-25 |
1598377178 | Hannah Schwartzer | Chiropractor | 2601 N Aspen Ave Ste 1023, Broken Arrow, OK 74012-1378 | 2020-08-17 |
1316556822 | Edmond Chiropractic Rehabilitation Pllc | Chiropractor | 3201 E Memorial Rd Ste C, Edmond, OK 73013-7093 | 2020-07-30 |
1083222715 | Chirothere, LLC | Chiropractor | 4416 N Western Ave Ste 205b, Oklahoma City, OK 73118-5256 | 2020-07-20 |
1679181648 | Sierra Quinn | Chiropractor | 177145 Highway 277, Geronimo, OK 73543-5211 | 2020-07-16 |
1154948073 | Thrive Chiropractic Group 3 LLC | Chiropractor | 1201 Nw 178th St Ste 119, Edmond, OK 73012-4280 | 2020-06-26 |
1306465307 | Brennan Chiropractic Clinic Corporation | Chiropractor | 2140 S Harvard Ave Ste 111, Tulsa, OK 74114-1957 | 2020-04-10 |
1790315547 | Kyle Brent Babcock | Chiropractor | 4900 Richmond Sq Ste 108, Oklahoma City, OK 73118-2043 | 2020-01-21 |
1083244180 | Adrian Barker | Chiropractor | 4721 W 6th Ave Ste 120, Stillwater, OK 74074-1549 | 2020-01-17 |
1518506310 | Daniel S Holt | Chiropractor | 13838 Quail Pointe Dr Ste A, Oklahoma City, OK 73134-1003 | 2019-12-27 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.