Organization Active NPI

Otero Care Transport LLC

  • Non-emergency Medical Transport (VAN)
  • Severance, CO
National Provider Identifier
1699649095
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
OTERO CARE TRANSPORT LLC
Practice address
1724 Vista Point Dr
Severance, CO 80550-3800
Phone
(970) 690-3295
NPI assigned
Sep 30, 2025
Last updated
Sep 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Authorized official

Name
Christian Jordan Otero
Title
Owner
Phone
(970) 690-3295

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X NU Primary

Addresses

Primary practice location

1724 Vista Point Dr
Severance, CO 80550-3800

Mailing address

1724 Vista Point Dr
Severance, CO 80550-3800
Phone (970) 690-3295

Other identifiers 1

IdentifierTypeStateIssuer
20258028489MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1759190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1699649095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 VISTA POINT DR",
            "city": "SEVERANCE",
            "state": "CO",
            "postal_code": "805503800",
            "telephone_number": "970-690-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 VISTA POINT DR",
            "city": "SEVERANCE",
            "state": "CO",
            "postal_code": "805503800",
            "telephone_number": "970-690-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTERO CARE TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-30",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "OTERO",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-690-3295"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20258028489",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Severance, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.