Active NPI
Robert Otten Jr., DC
- Chiropractor
- Windham, NY
National Provider Identifier
1912958372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X005393-1
- Practice address
- 5414 Main St
Windham, NY 12496-5802 - Phone
- (518) 734-6176
- Fax
- (518) 734-6237
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X005393-1 | NY | Primary |
Addresses
Primary practice location
5414 Main St
Windham, NY 12496-5802
Mailing address
PO Box 718
Windham, NY 12496-0718
Phone (518) 734-6176
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X005393-1 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1912958372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 718",
"city": "WINDHAM",
"state": "NY",
"postal_code": "124960718",
"telephone_number": "518-734-6176",
"fax_number": "518-734-6237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5414 MAIN ST",
"city": "WINDHAM",
"state": "NY",
"postal_code": "124965802",
"telephone_number": "518-734-6176",
"fax_number": "518-734-6237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTTEN",
"first_name": "ROBERT",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X005393-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Windham, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.