Individual provider Active NPI

Sydney R Gautreau, DDS

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1194604298
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
41924 Issued in TX
Practice address
1018 N Zang Blvd Ste 150
Dallas, TX 75208-4123
Phone
(214) 941-0039
Fax
(214) 941-0645
NPI assigned
Sep 2, 2025
Last updated
Nov 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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 41924 TX Primary

Addresses

Primary practice location

1018 N Zang Blvd Ste 150
Dallas, TX 75208-4123

Mailing address

1018 N Zang Blvd Ste 150
Dallas, TX 75208-4123
Phone (214) 941-0039

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
41924TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Marisol Vargas DDS PC CurrentSince Nov 9, 2025 Accepting new patients
Texas Saas PA General Practice CurrentSince Sep 8, 2025 Accepting new patients

Locations

1018 N Zang Blvd
Ste 150
Dallas, TX 75208
Phone (214) 941-0039

3839 McKinney Ave
Ste 130
Dallas, TX 75204
Phone (972) 808-7676

Organizations & group practices 2

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": "1756771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1194604298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 N ZANG BLVD STE 150",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084123",
            "telephone_number": "214-941-0039",
            "fax_number": "214-941-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 N ZANG BLVD STE 150",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084123",
            "telephone_number": "214-941-0039",
            "fax_number": "214-941-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUTREAU",
        "first_name": "SYDNEY",
        "middle_name": "R",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-02",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "41924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.