Individual provider Active NPI

Tatum Hart, DC

  • Chiropractor
  • Oklahoma City, OK
National Provider Identifier
1780473983
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4666 Issued in OK
Practice address
924 NW 58TH St
Oklahoma City, OK 73118-5900
Phone
(405) 459-0183
NPI assigned
May 5, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4666 OK Primary

Addresses

Primary practice location

924 NW 58TH St
Oklahoma City, OK 73118-5900

Mailing address

2832 Ridgeway Cir
Jones, OK 73049-4973
Phone (405) 505-6238

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250521003043 OK Practitioner - Chiropractic 8123547205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Young Life Chiropractic PLLCGroup PAC ID 9133467194, 3 clinicians

Practice addresses (Care Compare)

924 NW 58TH St
Oklahoma City, OK 73118-5915
Phone (405) 459-0183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4666OKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Young Life Chiropractic PLLC Chiropractor CurrentSince May 19, 2025 Accepting new patients

Locations

924 NW 58th St
Ste 100
Oklahoma City, OK 73118

924 NW 58th St
Oklahoma City, OK 73118
Phone (405) 218-2500

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1780473983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2832 RIDGEWAY CIR",
            "city": "JONES",
            "state": "OK",
            "postal_code": "730494973",
            "telephone_number": "405-505-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 NW 58TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731185900",
            "telephone_number": "405-459-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "TATUM",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.