Active NPI
Jasterhealth Preventive & Wellness Medicine, LLC
- Family Medicine Physician
- Denver, CO
National Provider Identifier
1528303500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 41530
- Legal business name
- JASTERHEALTH PREVENTIVE & WELLNESS MEDICINE, LLC
- Doing business as
- LIFE Medicine Institute
- Practice address
- 1777 S Harrison St Ste 1200
Denver, CO 80210-3955 - Phone
- (800) 651-7126
- Fax
- (844) 341-5519
- NPI assigned
- Dec 3, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brent Jaster, MD
- Title
- President
- Phone
- (800) 651-7126
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 41530 | CO | Primary |
Addresses
Primary practice location
1777 S Harrison St Ste 1200
Denver, CO 80210-3955
Mailing address
1777 S Harrison St Ste 1200
Denver, CO 80210-3955
Phone (800) 651-7126
Other names 1
- LIFE Medicine Institute
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | EHR |
National Provider Directory
National Provider DirectoryLocations
825 S Broadway St
Ste 200
Boulder, CO 80305
Phone (303) 378-1611
1805 S Bellaire St
Ste 101
Denver, CO 80222
Phone (303) 504-3600
12600 W Colfax Ave
Ste A190
Lakewood, CO 80215
Phone (800) 651-7126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354492800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744675200000",
"number": "1528303500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1777 S HARRISON ST STE 1200",
"city": "DENVER",
"state": "CO",
"postal_code": "802103955",
"telephone_number": "800-651-7126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1777 S HARRISON ST STE 1200",
"city": "DENVER",
"state": "CO",
"postal_code": "802103955",
"telephone_number": "800-651-7126",
"fax_number": "844-341-5519"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JASTERHEALTH PREVENTIVE & WELLNESS MEDICINE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-03",
"last_updated": "2025-04-15",
"certification_date": "2025-04-15",
"status": "A",
"authorized_official_last_name": "JASTER",
"authorized_official_first_name": "BRENT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "800-651-7126",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CO",
"license": "41530",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "EHR",
"affiliation": "N",
"endpointDescription": "Cloud-based HIPAA compliant EHR",
"address_1": "1777 S Harrison St Ste 1200",
"city": "Denver",
"state": "CO",
"country_code": "US",
"postal_code": "802103955",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "LIFE Medicine Institute",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.