Active NPI
Andrew Ryan Canavan, D.C.
- Chiropractor
- Rockledge, FL
National Provider Identifier
1093051815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH10643
- Practice address
- 984 Rockledge Blvd
Rockledge, FL 32955-2128 - Phone
- (321) 636-6090
- Fax
- (321) 632-5805
- NPI assigned
- Dec 26, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH10643 | FL | Primary |
Addresses
Primary practice location
984 Rockledge Blvd
Rockledge, FL 32955-2128
Mailing address
984 Rockledge Blvd
Rockledge, FL 32955-2128
Phone (321) 636-6090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
984 Rockledge Blvd
Rockledge, FL 32955-2128
Phone (321) 636-6090
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH10643 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cocoa Chiropractic Center, PA | Chiropractor | Current | Accepting new patients |
| Watt Family Chiropractic LLC | Chiropractor | Current | Accepting new patients |
Locations
111 N Fiske Blvd
Cocoa, FL 32922
Phone (321) 636-6090
2255 N Wickham Rd
Ste 109
Melbourne, FL 32935
Phone (321) 253-8511
984 Rockledge Blvd
Rockledge, FL 32955
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Rockledge, FL
- NPI 1841755907
-
- Chiropractor
- Melbourne, FL
- NPI 1134252471
-
- Orthopedic Chiropractor
- Cocoa, FL
- NPI 1639143118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1093051815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "984 ROCKLEDGE BLVD",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329552128",
"telephone_number": "321-636-6090",
"fax_number": "321-632-5805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "984 ROCKLEDGE BLVD",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329552128",
"telephone_number": "321-636-6090",
"fax_number": "321-632-5805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANAVAN",
"first_name": "ANDREW",
"middle_name": "RYAN",
"name_prefix": "Mr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-12-26",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH10643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockledge, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.