Individual provider Active NPI

Jose Gerardo Viteri, RDH

  • Dental Hygienist
  • Fort Sill, OK
National Provider Identifier
1114994043
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH009281 Issued in GA
Practice address
605 Randolph Rd
Cowan Dental Clinic
Fort Sill, OK 73503-1201
Phone
(580) 442-5925
Fax
(580) 442-7147
NPI assigned
Feb 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH009281 GA Primary

Addresses

Primary practice location

605 Randolph Rd
Cowan Dental Clinic
Fort Sill, OK 73503-1201

Mailing address

5535 NW Cache Rd
Apt. 7 C
Lawton, OK 73505-3336
Phone (580) 354-9181

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

LicenseStateTypeSpecialty
DH009281GAMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1114994043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5535 NW CACHE RD",
            "address_2": "APT. 7 C",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735053336",
            "telephone_number": "580-354-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 RANDOLPH RD",
            "address_2": "COWAN DENTAL CLINIC",
            "city": "FORT SILL",
            "state": "OK",
            "postal_code": "735031201",
            "telephone_number": "580-442-5925",
            "fax_number": "580-442-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITERI",
        "first_name": "JOSE",
        "middle_name": "GERARDO",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "GA",
            "license": "DH009281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Sill, OK

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.

Verify at the official NPI Registry.