Advanced Wellness Clinic, Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ADVANCED WELLNESS CLINIC, INC

Practice address

601 S Mission St
Sapulpa, OK 74066-4657

Phone

(918) 224-5900

Fax

(918) 224-6642

NPI assigned

Aug 28, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Corey Michael Stubbs, D.C.

Title

Owner

Phone

(918) 224-5900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1578080883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S MISSION ST",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740664657",
            "telephone_number": "918-224-5900",
            "fax_number": "918-224-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S MISSION ST",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740664657",
            "telephone_number": "918-224-5900",
            "fax_number": "918-224-6642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED WELLNESS CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "STUBBS",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-224-5900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• About Your Smile, PC
• Angel Adams-Threadgill, F-PRSS, WC
• Amber Adams
• Joseph Addison
• Advanced Therapeutic Solutions LLC
• Stephen Ray Aery
• Ashley Aich, PTA
• Goldameir Akingbola, DO
• Vitus Aku
• Krystelle Algeo

• All providers in Sapulpa, OK
• General Practice Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.