Active NPI
Plano Ivf LLC
- Reproductive Endocrinology Physician
- Plano, TX
National Provider Identifier
1063013241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- Legal business name
- PLANO IVF LLC
- Practice address
- 6300 W. Parker Road
Mob-2, Suite G26
Plano, TX 75093 - Phone
- (214) 363-5965
- Fax
- (214) 363-0639
- NPI assigned
- Nov 4, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samuel J Chantilis, MD
- Title
- Medical Director
- Phone
- (214) 363-5965
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | Primary |
Addresses
Primary practice location
6300 W. Parker Road
Mob-2, Suite G26
Plano, TX 75093
Mailing address
5477 Glen Lakes Dr Ste 200
Dallas, TX 75231-4381
Phone (214) 363-5965
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0925097 | Plano Ivf, LLC | Accreditation | Aug 7, 2026 |
National Provider Directory
National Provider DirectoryLocations
6300 W Parker Rd
Ste G26
Plano, TX 75093
Phone (469) 592-8557
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Reproductive Endocrinology Physician
- Plano, TX
- NPI 1215460936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604448000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604448000000",
"number": "1063013241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5477 GLEN LAKES DR STE 200",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314381",
"telephone_number": "214-363-5965",
"fax_number": "214-363-0639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6300 W. PARKER ROAD",
"address_2": "MOB-2, SUITE G26",
"city": "PLANO",
"state": "TX",
"postal_code": "75093",
"telephone_number": "214-363-5965",
"fax_number": "214-363-0639"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLANO IVF LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-04",
"last_updated": "2020-11-04",
"certification_date": "2020-11-04",
"status": "A",
"authorized_official_last_name": "CHANTILIS",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "214-363-5965",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
- Plano Independent School District
- Plano Independent School District
- Plano Injury Rehab
- Plano Internal Medicine Associates
- Plano Internal Medicine Associates
- Plano Limited Partnership
- Plano Med Clinic PLLC
- Plano Minyards Smiles, PLLC
- Plano Modern Dentistry, PC
- Plano Neovascular Interventional Group PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.