Organization Active NPI

Rock Chalk Partners LLC

Doing business as HealthSource of West Centennial

  • Chiropractor
  • Centennial, CO
National Provider Identifier
1568270080
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ROCK CHALK PARTNERS LLC
Doing business as
HealthSource of West Centennial
Practice address
8216 S Holly St
Centennial, CO 80122-4012
Phone
(720) 773-8400
NPI assigned
Dec 30, 2024
Last updated
Dec 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Authorized official

Name
Stacey Harding
Title
Owner
Phone
(303) 514-3677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

8216 S Holly St
Centennial, CO 80122-4012

Mailing address

8216 S Holly St
Centennial, CO 80122-4012
Phone (720) 773-8400

Other names 1

  • HealthSource of West Centennial Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250911003634 CO Part B Supplier - Clinic/Group Practice 9234632654 Receives reassigned benefits from 2 practitioners
Practice locations: Centennial, CO

National Provider Directory

National Provider Directory

Locations

8216 S Holly St
Centennial, CO 80122
Phone (303) 221-1569

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1568270080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8216 S HOLLY ST",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801224012",
            "telephone_number": "720-773-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8216 S HOLLY ST",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801224012",
            "telephone_number": "720-773-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK CHALK PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "HARDING",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-514-3677"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthSource of West Centennial",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.