Organization Active NPI

Plano Ivf LLC

  • Reproductive Endocrinology Physician
  • Plano, TX
National Provider Identifier
1063013241
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
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

Updated by the provider on Nov 4, 2020

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)CodeLicenseStatePrimary
Reproductive Endocrinology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0925097Plano Ivf, LLC6300 W Parker Road Suite #G-26, Plano, TX 75093AccreditationAug 7, 2026

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.