NPIMap

Organization Active NPI

Adventhealth Primary Care RMR

Doing business as Adventhealth Primary Care Crystal Valley

  • Family Medicine Physician
  • Castle Rock, CO
National Provider Identifier
1194635532
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ADVENTHEALTH PRIMARY CARE RMR
Doing business as
Adventhealth Primary Care Crystal Valley
Practice address
4141 Plum Creek Blvd Unit 200
Castle Rock, CO 80104-4130
Phone
(720) 455-8003
Fax
(720) 985-2087
NPI assigned
Sep 9, 2026
Last updated
Sep 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Authorized official

Name
Destin Harcus
Title
Cfo
Phone
(225) 328-1607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4141 Plum Creek Blvd Unit 200
Castle Rock, CO 80104-4130

Mailing address

2600 Westhall LN Ste 200
Maitland, FL 32751-7107
Phone (407) 200-2857

Other names 1

  • ADVENTHEALTH PRIMARY CARE CRYSTAL VALLEY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Adventhealth Primary Care RMR30 organizations share this tax ID, including this one

Other organizations with this tax ID 29

Organizations that report the same tax identification number in the National Provider Directory.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1788912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1194635532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 WESTHALL LN STE 200",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517107",
            "telephone_number": "407-200-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 PLUM CREEK BLVD UNIT 200",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801044130",
            "telephone_number": "720-455-8003",
            "fax_number": "720-985-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTHEALTH PRIMARY CARE RMR",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-09",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "HARCUS",
        "authorized_official_first_name": "DESTIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "225-328-1607"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVENTHEALTH PRIMARY CARE CRYSTAL VALLEY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.