Organization Active NPI

Jasterhealth Preventive & Wellness Medicine, LLC

  • Family Medicine Physician
  • Denver, CO
National Provider Identifier
1528303500
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
41530 Issued in CO
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

Updated by the provider on Apr 15, 2025

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL EHR

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.