Dallas Fertility Center - Baylor LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

DALLAS FERTILITY CENTER - BAYLOR LLC

Practice address

3900 Junius St Ste 610
Dallas, TX 75246-1610

Phone

(214) 363-5965

Fax

(214) 363-0639

NPI assigned

Jan 21, 2025

Last updated

Jan 21, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samuel J. Chantilis, MDNPI 1386696052

Title

Owner

Phone

(214) 363-5965

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samuel John Chantilis, M.D.

  • Reproductive Endocrinology Physician
  • Dallas, TX
  • NPI 1386696052
  Authorized official Same address or phone

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1366254971",
    "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": "3900 JUNIUS ST STE 610",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461610",
            "telephone_number": "214-363-5965",
            "fax_number": "214-363-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS FERTILITY CENTER - BAYLOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "CHANTILIS",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-363-5965",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dallas Eye and Ear PLLC
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• Dallas Eyeworks Inc
• Dallas Family Psychiatry PLLC
• Dallas Federal Physical Therapy and Rehabilitation LLC
• Dallas Fire Rescue
• Dallas Foot and Ankle Specialists,PA
• Dallas Fort Worth Ivf LLC (Dallas Fertility Center)
• Dallas Fort Worth Nephrology II LLC (DaVita Central Dallas Dialysis)
• Dallas Head and Neck Surgery

• Clinical Medical Laboratory in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.