Gary Lionel Koehl, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D10371 Issued in TX

Practice address

1015 Shook Ave
San Antonio, TX 78212-2508

Phone

(210) 826-2373

Fax

(210) 826-2374

NPI assigned

Sep 27, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1376539056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 SHOOK AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782122508",
            "telephone_number": "210-826-2373",
            "fax_number": "210-826-2374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 SHOOK AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782122508",
            "telephone_number": "210-826-2373",
            "fax_number": "210-826-2374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEHL",
        "first_name": "GARY",
        "middle_name": "LIONEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "D10371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "527724",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "BK04",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nagalakshmi Koduri
• Humaira Ashraf Kodwavi, SLP ASSISTANT
• Deborah Kodzo
• Bonny C. Koeber, MD
• William Karl Koeck, M.D.
• George Koehler
• Kathleen G. Koehler, LCP-LMFT
• Malaki Scott Koehler
• Rebecca Koehler
• Gia Koehne, PSY.D., BCBA

• Dentist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dentist in Texas

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.