Individual provider Active NPI

Anthony Joseph Koagel, DMD

  • General Practice Dentistry
  • Canton, GA
National Provider Identifier
1083684104
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN014219 Issued in GA
Practice address
7768 Cumming Hwy Ste 100
Canton, GA 30115-2982
Phone
(678) 493-2204
NPI assigned
Jan 23, 2006
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN014219 GA Primary

Addresses

Primary practice location

7768 Cumming Hwy Ste 100
Canton, GA 30115-2982

Mailing address

1713 Weston Brent LN
El Paso, TX 79935-3013
Phone (915) 592-2097

Other names 1

  • Dr. Tony Joseph Koagel Other name

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
DE00009604WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Vista Hills Family Dental Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1083684104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 WESTON BRENT LN",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799353013",
            "telephone_number": "915-592-2097",
            "fax_number": "915-592-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7768 CUMMING HWY STE 100",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301152982",
            "telephone_number": "678-493-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOAGEL",
        "first_name": "ANTHONY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN014219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONY",
            "last_name": "KOAGEL",
            "middle_name": "JOSEPH",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Canton, GA

Sources for this page

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