Active NPI
Corey Michael Stubbs, D.C.
- Chiropractor
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3657
- Practice address
- 9709 E 79TH St
Tulsa, OK 74133-4566 - Phone
- (918) 994-4000
- Fax
- (918) 994-4090
- NPI assigned
- Aug 31, 2006
- Last updated
- Oct 25, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3657 | OK | Primary |
Addresses
Primary practice location
9709 E 79TH St
Tulsa, OK 74133-4566
Mailing address
9709 E 79TH St
Tulsa, OK 74133-4566
Phone (918) 994-4048
Other practice location 1
601 S Mission St
Sapulpa, OK 74066-4657
Phone (918) 224-5900
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | credentialing@invictus.healthcare | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10115 E 80TH St
Suite B
Tulsa, OK 74133-3425
Phone (918) 893-6400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3657 | OK | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Impact Chiropractic Clinic Inc PC | Chiropractor | Current | Accepting new patients |
| Invictus Healthcare System, PLLC | Current | Accepting new patients | |
| Stubbs, Inc. | Chiropractor | Current | Accepting new patients |
| D S Lawrence DC, PC | Chiropractor | Past | Accepting new patients |
Locations
10115 E 80th St
Ste B
Tulsa, OK 74133
Phone (918) 893-6400
9709 E 79th St
Tulsa, OK 74133
Phone (918) 994-4000
Networks
- devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
Interoperability endpoints
- corey.stubbs@invictus.directbygreenway.com
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73165
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Broken Arrow, OK
- NPI 1073732087
-
dba Invictus Healthcare System
- Neurological Surgery Physician
- Tulsa, OK
- NPI 1639575160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666656000000",
"number": "1033220918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9709 E 79TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741334566",
"telephone_number": "918-994-4048",
"fax_number": "918-994-4090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9709 E 79TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741334566",
"telephone_number": "918-994-4000",
"fax_number": "918-994-4090"
}
],
"practiceLocations": [
{
"address_1": "601 S Mission St",
"address_purpose": "LOCATION",
"city": "Sapulpa",
"state": "OK",
"postal_code": "740664657",
"country_code": "US",
"telephone_number": "918-224-5900",
"fax_number": "918-224-6642",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STUBBS",
"first_name": "COREY",
"middle_name": "MICHAEL",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2022-10-25",
"certification_date": "2022-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OK",
"license": "3657",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "credentialing@invictus.healthcare",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "9709 E 79th St",
"city": "Tulsa",
"state": "OK",
"country_code": "US",
"postal_code": "741334566",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.