Organization Active NPI

South Metro Integrated Clinic

  • Specialist
  • Highlands Ranch, CO
National Provider Identifier
1962948877
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SOUTH METRO INTEGRATED CLINIC
Practice address
9299 S Broadway
Highlands Ranch, CO 80129-5603
Phone
(619) 693-4227
Fax
(888) 382-8131
NPI assigned
Jan 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Authorized official

Name
Garret Rock, D.C.NPI 1851463988
Title
Partner
Phone
(303) 842-0367

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

9299 S Broadway
Highlands Ranch, CO 80129-5603

Mailing address

1823 Ford St Ste 2
Golden, CO 80401-2545
Phone (303) 842-0367

National Provider Directory

National Provider Directory

Locations

9299 S Broadway
Highlands Ranch, CO 80129
Phone (303) 683-3377

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1962948877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1823 FORD ST STE 2",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804012545",
            "telephone_number": "303-842-0367",
            "fax_number": "888-382-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9299 S BROADWAY",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801295603",
            "telephone_number": "619-693-4227",
            "fax_number": "888-382-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH METRO INTEGRATED CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "ROCK",
        "authorized_official_first_name": "GARRET",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "303-842-0367",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.