MR. ANDREW RYAN CANAVAN (DC) – Chiropractor, NPI 1093051815

MR. ANDREW RYAN CANAVAN (DC) is a healthcare provider. based in Cocoa, Florida. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. CH10643 (FL). The NPI Number for MR. ANDREW RYAN CANAVAN (DC) is 1093051815

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
MR. ANDREW RYAN CANAVAN (DC)
NPI
1093051815
Phone
(321) 636-6090
Address
111 N. FISKE BLVD.
Enumeration Date
26 December 2012
Last Update Date
16 August 2023

Doctor Profile

Medical School Name
PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Secondary Phone
3216366090
Graduation Year
2012 (14 years ago)
PAC ID
0941455067
Group Practice PAC ID
3577805613
Professional Enrollment ID
I20130221000203
Address ID
FL329227211CO111XXBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

2,472 CHIROPRACTIC in FL

Provider Addresses for MR. ANDREW RYAN CANAVAN (DC)

  • 111 N. FISKE BLVD.

    COCOA, FL 32922

    Phone: (321) 636-6090

    Fax: (321) 632-5805

    Type: Location

  • 2255 N WICKHAM RD

    MELBOURNE, FL 329358012

    Phone: (321) 253-8511

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-02-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130221000203IChiropracticFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98941Chiropractic manipulative treatment, 3-4 spinal regions646104$0
98940Chiropractic manipulative treatment, 1-2 spinal regions48893$0
View full utilization report →

Insurance plans in this area (ZIP 32922)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577805613View full group profile
NameSpecialtyState
C H I R O P R A C T I CFL

Reviews

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Frequently asked questions

What is MR. ANDREW RYAN CANAVAN (DC)'s NPI number?
MR. ANDREW RYAN CANAVAN (DC)'s NPI is 1093051815 — the number used across U.S. healthcare to identify this provider.
Is MR. ANDREW RYAN CANAVAN (DC) shown as active in public data?
Registry records indicate MR. ANDREW RYAN CANAVAN (DC) maintains an active NPI.
What clinical focus is listed for MR. ANDREW RYAN CANAVAN (DC)?
At a glance, MR. ANDREW RYAN CANAVAN (DC) is tied to Chiropractor. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MR. ANDREW RYAN CANAVAN (DC)?
Travel planning: use Cocoa, Florida as the reference point for MR. ANDREW RYAN CANAVAN (DC), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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