Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Tyler Ray Bodin, DC

Individual provider Chiropractor · NPI 1730108697

Dr. Tyler Ray Bodin, DC is a Chiropractic in Moore, Oklahoma. Graduated from Cleveland Chiropractic College - Kansas City in 2005, 21 years ago. Practices as a sole proprietor. Licensed in Oklahoma.

Years since qualifying
21
Trained at
Cleveland Chiropractic College - Kansas City
Licensed in
OK
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

1021 SW 19th St
Moore, OK 73160-2806
Phone: (405) 703-2694
Fax: (405) 703-2848
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 3813 (OK)

Record details

NPI number1730108697
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedJuly 19, 2006
Last updated in NPPESJuly 8, 2007
Mailing address12445 Alameda Trace Cir, 312, Austin, TX 78727-6390

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolCLEVELAND CHIROPRACTIC COLLEGE - KANSAS CITY
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Not indicated

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