Grant Vidal Rivera, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5665 Issued in NC

Practice address

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

Phone

(704) 610-5366

Fax

(704) 997-1569

NPI assigned

Apr 7, 2022

Last updated

Dec 12, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Grant Vidal Rivera Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• GVR Chiropractic, PLLC

  • Chiropractor
  • Charlotte, NC
  • NPI 1902751696
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1932841376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10716 CARMEL COMMONS BLVD STE 130",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263926",
            "telephone_number": "704-610-5366",
            "fax_number": "704-997-1569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10716 CARMEL COMMONS BLVD STE 130",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263926",
            "telephone_number": "704-610-5366",
            "fax_number": "704-997-1569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "GRANT",
        "middle_name": "VIDAL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-07",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5665",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "36215",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRANT",
            "last_name": "RIVERA",
            "middle_name": "VIDAL",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Nazario Dejesus Rivera Chaparro, M.D.
• Epifanio Rivera-Ortiz, M.D.
• Brittany Kingry Rivera
• Chasity Rivera
• Dejarra Rivera, MD
• Jennifer Rivera, PHARMD
• Jessica Marie Rivera
• Luis Rivera
• Melanie A Rivera, LCMHCA
• Michelle Lorraine Rivera, M.D.

• Chiropractor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.

Verify at the official NPI Registry.