Individual provider · Type 1 NPI

Grant Vidal Rivera, DC

Chiropractor · Charlotte, NC

NPI number 1932841376 Active

Practice location

10716 Carmel Commons Blvd Ste 130
Charlotte, NC 28226-3926

Fax (704) 997-1569

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X5665 (NC)
Chiropractor 111N00000X36215 (CA)

Chiropractor: 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.

2 other providers at this address

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About NPI 1932841376

Grant Vidal Rivera, DC's National Provider Identifier is 1932841376, issued on Apr 7, 2022. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Charlotte, NC. The record was last updated on Dec 12, 2025.