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DR. GRANT LISETOR DC
NPI 1477957371
Chiropractor in Charlotte, NC

Active since October 21, 2014Accepts Medicare Assignment
624 TYVOLA RD, SUITE 100, CHARLOTTE, NC 28217(704) 770-8436 Get Directions Write a Review

NPPES record last updated: October 21, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Grant Lisetor Dc NPPES

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

DR. GRANT LISETOR DC (NPI 1477957371) is an individual chiropractor in Charlotte, North Carolina, licensed in North Carolina (4490) and active in the NPI registry since October 2014. He is a graduate of Other (2014).

NPPES Registry Identity

NPI1477957371
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. GRANT LISETORCredential: DC
Location Address624 TYVOLA RD, SUITE 100Charlotte, NC 28217-3578
Mailing Address624 Tyvola Rd, Suite 100Charlotte, NC 28217-3578 · (704) 770-8436
Phone(704) 770-8436
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 21, 2014
✔ NPI 1477957371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NC · 4490
Definition
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.
624 TYVOLA RD, Charlotte, NC 28217
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Grant Lisetor Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739406265
PECOS Enrollment IDI20150323000843

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELSEY FIERKE
Chiropractor
624 TYVOLA RD
CHARLOTTE, NC 28217
Mecklenburg County (704) 770-8436
GREATER LIFE CHIROPRACTIC
Chiropractor
624 TYVOLA RD, SUITE 100
CHARLOTTE, NC 28217
Mecklenburg County (704) 770-8436

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 Grant Lisetor's NPI number?

The NPI number for Grant Lisetor is 1477957371. It was assigned to this individual provider in the NPPES registry on October 21, 2014.

Where is Grant Lisetor located?

Grant Lisetor practices at 624 Tyvola Rd Suite 100, Charlotte, NC 28217. The listed phone number is (704) 770-8436.

What is Grant Lisetor's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Grant Lisetor enrolled in Medicare?

Yes. Grant Lisetor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Grant Lisetor accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Grant Lisetor 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 Grant Lisetor was last updated on October 21, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.