Organization Active NPI

Harrah Family Chiropractic, PC

  • Chiropractor
  • Harrah, OK
National Provider Identifier
1083259204
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HARRAH FAMILY CHIROPRACTIC, PC
Practice address
19857 NE 23Rd St Ste a
Harrah, OK 73045-9307
Phone
(405) 250-1984
NPI assigned
Nov 12, 2019
Last updated
Jan 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Authorized official

Name
Dr. Tyler Kincaid Haderer, DCNPI 1912471244
Title
Owner
Phone
(405) 250-1984

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

19857 NE 23Rd St Ste a
Harrah, OK 73045-9307

Mailing address

PO Box 215
Harrah, OK 73045-0215
Phone (405) 309-2629

National Provider Directory

National Provider Directory

Locations

19857 NE 23rd St
Ste A
Harrah, OK 73045
Phone (405) 250-1984

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": "1573516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1083259204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 215",
            "city": "HARRAH",
            "state": "OK",
            "postal_code": "730450215",
            "telephone_number": "405-309-2629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19857 NE 23RD ST STE A",
            "city": "HARRAH",
            "state": "OK",
            "postal_code": "730459307",
            "telephone_number": "405-250-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRAH FAMILY CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-12",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "HADERER",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "KINCAID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-250-1984",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrah, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; 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.