Individual
RAFAEL RIVERA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4901 N TRYON ST, CHARLOTTE, NC 28213-7033
(704) 921-0204
Mailing address
3340 ROBINWOOD RD STE 100-406, GASTONIA, NC 28054-6689
(704) 816-1402
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6870
NC
1223G0001X
General Practice Dentistry
Primary
6870
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89014NG
—
NC
01
—
902HT
BLUE CROSS BLUE SHIELD NC
NC
Enumeration date
06/14/2005
Last updated
06/02/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up