Active NPI
Cocoa Chiropractic Center, PA
- Chiropractor
- Rockledge, FL
National Provider Identifier
1841755907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- COCOA CHIROPRACTIC CENTER, PA
- Practice address
- 984 Rockledge Blvd
Rockledge, FL 32955-2128 - Phone
- (321) 636-6090
- Fax
- (321) 632-5805
- NPI assigned
- Feb 4, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Andrew R Canavan, D.C.
- Title
- President/Owner
- Phone
- (321) 636-6090
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 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
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639143118 | Other | FL | CHIROPRACTOR |
| 1093051815 | Other | FL | CHIROPRACTOR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
111 N Fiske Blvd
Cocoa, FL 32922
Phone (321) 636-6090
984 Rockledge Blvd
Rockledge, FL 32955
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Rockledge, FL
- NPI 1093051815
-
- Orthopedic Chiropractor
- Cocoa, FL
- NPI 1639143118
-
- Chiropractor
- Cocoa, FL
- NPI 1346418308
-
- Chiropractor
- Rockledge, FL
- NPI 1033454418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783900800000",
"number": "1841755907",
"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": {
"organization_name": "COCOA CHIROPRACTIC CENTER, PA",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-04",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A",
"authorized_official_last_name": "CANAVAN",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "321-636-6090",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTOR",
"identifier": "1639143118",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTOR",
"identifier": "1093051815",
"state": "FL"
}
],
"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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.