NPIMap

Organization Active NPI

Stay Well Family & Urgent Care Clinic

  • Primary Care Clinic/Center
  • Grapevine, TX
National Provider Identifier
1225314412
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
STAY WELL FAMILY & URGENT CARE CLINIC
Practice address
3701 Grapevine Mills Pkwy
443
Grapevine, TX 76051-1900
Phone
(301) 455-5945
NPI assigned
Nov 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Authorized official

Name
Dr. Adetunji Adesanoye, M.D.
Title
Medical Director
Phone
(301) 455-5945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

3701 Grapevine Mills Pkwy
443
Grapevine, TX 76051-1900

Mailing address

3701 Grapevine Mills Pkwy
443
Grapevine, TX 76051-1900
Phone (301) 455-5945

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320105600000",
    "number": "1225314412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 GRAPEVINE MILLS PKWY",
            "address_2": "443",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760511900",
            "telephone_number": "301-455-5945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 GRAPEVINE MILLS PKWY",
            "address_2": "443",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760511900",
            "telephone_number": "301-455-5945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAY WELL FAMILY & URGENT CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-01",
        "last_updated": "2011-11-01",
        "status": "A",
        "authorized_official_last_name": "ADESANOYE",
        "authorized_official_first_name": "ADETUNJI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "301-455-5945",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.