Individual provider Active NPI

Robert Frederick Cowan, DC, CAP

  • Chiropractor
  • Pensacola, FL
National Provider Identifier
1275677635
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 4707 Issued in FL
Practice address
945 W Michigan Ave
Suite 8B
Pensacola, FL 32505-2345
Phone
(850) 469-9633
Fax
(850) 469-1590
NPI assigned
Feb 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 4707 FL Primary

Addresses

Primary practice location

945 W Michigan Ave
Suite 8B
Pensacola, FL 32505-2345

Mailing address

945 W Michigan Ave
Suite 8B
Pensacola, FL 32505-2345
Phone (850) 469-9633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CH 4707FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275677635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 W MICHIGAN AVE",
            "address_2": "SUITE 8B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325052345",
            "telephone_number": "850-469-9633",
            "fax_number": "850-469-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 W MICHIGAN AVE",
            "address_2": "SUITE 8B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325052345",
            "telephone_number": "850-469-9633",
            "fax_number": "850-469-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWAN",
        "first_name": "ROBERT",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "DC, CAP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 4707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.