Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1366535254 Deactivated / Inactive NPI Male Practitioner

Dr. Leonard Stephen Grand , DC

Chiropractor • Port Orange, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Leonard Grand has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 02, 2006
NPI Deactivation Date March 11, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Leonard Grand, DC was a registered Chiropractor practicing in Port Orange, FL. Throughout an active medical career spanning 13 years, Dr. Grand provided care at the practice location at 4705 S CLYDE MORRIS BLVD until profile deactivation on 2019-03-11.

Historical Medicare Part B clinical services included chiropractic manipulative treatment, 1-2 spinal regions, chiropractic manipulative treatment, 3-4 spinal regions. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

4705 S Clyde Morris Blvd

Port Orange, FL 321294103

Telephone 3867632718
Associated Practice Facility / Clinic
🏢 Palmer College Foundation Facility NPI 1568552255

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Port Orange, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
123 Specialists

Practicing in Port Orange, FL (7309 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
2.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98940 Chiropractic manipulative treatment, 1-2 spinal regions
123 30 $30.00 $28.50
98941 Chiropractic manipulative treatment, 3-4 spinal regions
61 24 $41.00 $40.53

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License FL CH2533

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
NPI 1083922033

Doctor of Chiropractic

NPI 1205033925

Doctor of Chiropractic

NPI 1346333242

Doctor of Chiropractic

NPI 1407980840

Doctor of Chiropractic, HBPE, BSE

Dr. Joanne Eash , DC

Chiropractor - Rehabilitation

NPI 1457529745

Doctor of Chiropractic

NPI 1457677635

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated March 11, 2019

Record deactivated on March 11, 2019

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NPI Profile Deactivated March 09, 2019

Record deactivated on March 09, 2019

NPI Profile Active November 12, 2015

NPI status registered as active in NPPES database

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Updated Practice Location November 12, 2015

Registered at 4705 S CLYDE MORRIS BLVD, PORT ORANGE, FL 321294103 (Tel: 3867632718)

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Updated Business Mailing Address November 12, 2015

Registered at 4705 S CLYDE MORRIS BLVD, PORT ORANGE, FL 321294103

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Provider Name / Credentials Updated November 12, 2015

Recorded as LEONARD GRAND, DC

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2015

Chiropractor (License #CH2533 in FL)

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Initial NPI Registration & Enumeration October 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366535254
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2006
Last Update: November 12, 2015
Deactivation Date: March 11, 2019

Mailing Address

4705 S Clyde Morris Blvd

Port Orange, FL 321294103

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.