Healthcare Provider Details

I. General information

NPI: 1699698704
Provider Name (Legal Business Name): JASON CROFT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2350 MEADOWS BLVD
CASTLE ROCK CO
80109-8405
US

IV. Provider business mailing address

3508 NEZ PERCE TRL
CASTLE ROCK CO
80109-3552
US

V. Phone/Fax

Practice location:
  • Phone: 720-455-4000
  • Fax:
Mailing address:
  • Phone: 727-235-7621
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.1639908
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: