Active NPI
Sydney Elizabeth Guidroz, DDS
- General Practice Dentistry
- Austin, TX
National Provider Identifier
1316476468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 33060
- Practice address
- 3100 S Congress Ave # 1F
Austin, TX 78704-6462 - Phone
- (512) 717-3147
- NPI assigned
- Jun 11, 2017
- Last updated
- Jul 22, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 33060 | TX | |
| General Practice Dentistry | 1223G0001X | 33060 | TX | Primary |
Addresses
Primary practice location
3100 S Congress Ave # 1F
Austin, TX 78704-6462
Mailing address
4646 Mueller Blvd Apt 4075
Austin, TX 78723-3431
Phone (601) 807-3756
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
| License | State | Type | Specialty |
|---|---|---|---|
| 33060 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drip Dental | Current | Accepting new patients | |
| Omni Dental Group | General Practice | Past | Accepting new patients |
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.
-
- Dental Clinic/Center
- Dripping Springs, TX
- NPI 1831894666
-
- General Practice Dentistry
- Austin, TX
- NPI 1033285978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595376000000",
"number": "1316476468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4646 MUELLER BLVD APT 4075",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787233431",
"telephone_number": "601-807-3756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 S CONGRESS AVE # 1F",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787046462",
"telephone_number": "512-717-3147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUIDROZ",
"first_name": "SYDNEY",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-11",
"last_updated": "2020-07-22",
"certification_date": "2020-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "33060",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "33060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.