NPIMap

Organization Active NPI

Dallas-Fort Worth Fertility Associates, P.a.

  • Medical Specialty Clinic/Center
  • Dallas, TX
National Provider Identifier
1982808218
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
DALLAS-FORT WORTH FERTILITY ASSOCIATES, P.A.
Practice address
5477 Glen Lakes Dr
Suite 200
Dallas, TX 75231-0946
Phone
(214) 363-5965
Fax
(214) 363-0639
NPI assigned
Jun 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2012

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

Authorized official

Name
Dr. Samuel John Chantilis, M.D.NPI 1386696052
Title
President
Phone
(214) 363-5965

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

5477 Glen Lakes Dr
Suite 200
Dallas, TX 75231-0946

Mailing address

5477 Glen Lakes Dr
Suite 200
Dallas, TX 75231-0946
Phone (214) 363-5965

Other names 1

  • DFW Fertility Associates Doing business as

National Provider Directory

National Provider Directory

Locations

5477 Glen Lakes Dr
Dallas, TX 75231
Phone (214) 363-5965

7777 Forest Ln
Ste D1100
Dallas, TX 75230

6300 W Parker Rd
Ste G28
Plano, TX 75093
Phone (469) 592-8557

910 E Southlake Blvd
Ste 175
Southlake, TX 76092
Phone (817) 442-5510

Practitioners & affiliated clinicians

Practitioners 9

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": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343088000000",
    "number": "1982808218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5477 GLEN LAKES DR",
            "address_2": "SUITE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310946",
            "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": "5477 GLEN LAKES DR",
            "address_2": "SUITE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310946",
            "telephone_number": "214-363-5965",
            "fax_number": "214-363-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS-FORT WORTH FERTILITY ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2012-07-24",
        "status": "A",
        "authorized_official_last_name": "CHANTILIS",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-363-5965",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DFW Fertility Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 24, 2012; 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.