GRAPEVINE TOTAL WELLNESS PLLC
NPI 1215594577
Family Medicine - Adult Medicine in Grapevine, TX

Active since May 22, 2019CLIA 45D2171814 · Certificate of Compliance
1000 W ST HWY 114, GRAPEVINE, TX 76051(800) 246-5698 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 11, 2019, May 22, 2019 (2 updates tracked since 2019).

About Grapevine Total Wellness Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRAPEVINE TOTAL WELLNESS PLLC (NPI 1215594577) is a healthcare organization registered as an adult medicine in Grapevine, Texas and active in the NPI registry since May 2019. The organization holds a CLIA Certificate of Compliance certificate valid through August 27, 2027 and lists Salvatore Campo, Physician/president, as its authorized official.

NPPES Registry Identity

NPI1215594577
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameGRAPEVINE TOTAL WELLNESS PLLC
Location Address1000 W ST HWY 114Grapevine, TX 76051-3987
Mailing Address5000 Eldorado Pkwy Ste 150-153Frisco, TX 75033-8695 · (800) 246-5698
Organization SubpartYesParent: Modern Male T-clinic, P.a.
Authorized OfficialSalvatore CampoPhysician/president · (800) 246-5698
Enumeration DateMay 22, 2019
Last NPPES UpdateJune 11, 20192 updates tracked since enumeration
NPI 1215594577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
1000 W ST HWY 114, Grapevine, TX 76051

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 45D2171814

Grapevine Total Wellness, PLLC · Grapevine, TX
Active · expires Aug 27, 2027
CLIA Number45D2171814
Laboratory TypePhysician Office
Certificate Effective DateAugust 28, 2025
Certificate Expiration DateAugust 27, 2027
Laboratory DirectorSalvatore R. Campo
Laboratory Phone(214) 714-5343
Laboratory LocationGrapevine Total Wellness, PLLC1000 W State Hwy 114, Grapevine, TX 76051
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grapevine Total Wellness PLLC's NPI number?

The NPI number for Grapevine Total Wellness PLLC is 1215594577. It was assigned to this organization in the NPPES registry on May 22, 2019.

Where is Grapevine Total Wellness PLLC located?

Grapevine Total Wellness PLLC is located at 1000 W St Hwy 114, Grapevine, TX 76051. The listed phone number is (800) 246-5698.

What is Grapevine Total Wellness PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Does Grapevine Total Wellness PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 45D2171814) is associated with this NPI, valid through August 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Grapevine Total Wellness PLLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Grapevine Total Wellness PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Grapevine Total Wellness PLLC was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.