Gary S Kodish, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8205 Issued in FL

Practice address

11536 Pallas Dr
Boynton Beach, FL 33437-6427

Phone

(954) 554-4480

NPI assigned

Apr 6, 2007

Last updated

Jun 26, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Practice roles

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.

• Federico J Perez DMD Inc

  dba iSmile Dental Practice

  • General Practice Dentistry
  • Fort Lauderdale, FL
  • NPI 1952925760
  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1487776712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11536 PALLAS DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334376427",
            "telephone_number": "954-554-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11536 PALLAS DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334376427",
            "telephone_number": "954-554-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KODISH",
        "first_name": "GARY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "8205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED TAX ID",
            "identifier": "592018927",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trent Knight
• Abbey Haydis Knox, MA, L.M.H.C., NCC
• Myrianne Pyram Knox
• Knucks Labs LLC
• Cheryl Ann Koch, PT
• Gary Gilbert Koesten, R.PH.
• Francyne Lynn Kohler, DDS
• Blythe Kolb, PTA
• Gila Kolodny, MHC, LSP
• Yitzchok Kolodny, PT

• General Practice Dentistry in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.