Active NPI
Leonardo R Grifaldo
- Rehabilitation Chiropractor
- Grand Prairie, TX
National Provider Identifier
1407746340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 16454
- Practice address
- 2133 S Great Southwest Pkwy Ste 505
Grand Prairie, TX 75051-3546 - Phone
- (972) 647-2400
- Fax
- (972) 647-2400
- NPI assigned
- Jul 3, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 16454 | TX | Primary |
Addresses
Primary practice location
2133 S Great Southwest Pkwy Ste 505
Grand Prairie, TX 75051-3546
Mailing address
2133 S Great Southwest Pkwy Ste 505
Grand Prairie, TX 75051-3546
Phone (972) 647-2400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16454 | TX | MD | Rehabilitation Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanvan Inc | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751500800000",
"number": "1407746340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2133 S GREAT SOUTHWEST PKWY STE 505",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750513546",
"telephone_number": "972-647-2400",
"fax_number": "972-647-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2133 S GREAT SOUTHWEST PKWY STE 505",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750513546",
"telephone_number": "972-647-2400",
"fax_number": "972-647-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFALDO",
"first_name": "LEONARDO",
"middle_name": "R",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-07-03",
"last_updated": "2025-07-03",
"certification_date": "2025-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": "TX",
"license": "16454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Prairie, TX
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.