COCOA CHIROPRACTIC CENTER PA – Chiropractor, NPI 1841755907

COCOA CHIROPRACTIC CENTER PA is a healthcare provider. based in Cocoa, Florida. specializing in Chiropractor. The NPI Number for COCOA CHIROPRACTIC CENTER PA is 1841755907

Main info

Organization
Name
COCOA CHIROPRACTIC CENTER PA
NPI
1841755907
Phone
(321) 636-6090
Address
111 N FISKE BLVD
Authorized Official
MR. ANDREW R CANAVAN PRESIDENT DC
Enumeration Date
4 February 2019
Last Update Date
16 August 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:7State licenses:0Digital endpointsOther names

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Provider Addresses for COCOA CHIROPRACTIC CENTER PA

  • Fiske Boulevard, Diamond Square, Cocoa, Brevard County, Florida, 32922, United States

    COCOA, FL 329227211

    Phone: (321) 636-6090

    Fax: (321) 632-5805

    Mailing address matches the actual address.

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: 2019-04-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-10-31 (586 days ago).

Enrollment records

1

Earliest due date

2024-10-31

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
O20190422000697OClinic/Group PracticeFL2024-10-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32922)

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Reviews

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Frequently asked questions

What is the standard ID for COCOA CHIROPRACTIC CENTER PA in the U.S.?
In the U.S., COCOA CHIROPRACTIC CENTER PA is identified by NPI 1841755907.
Is COCOA CHIROPRACTIC CENTER PA currently accepting referrals based on NPI status?
Registry metadata lists COCOA CHIROPRACTIC CENTER PA as active.
What does the directory say COCOA CHIROPRACTIC CENTER PA does?
Insurance directories may phrase it differently, but here COCOA CHIROPRACTIC CENTER PA maps to Chiropractor. Clinical services aligned with this taxonomy classification.
Which community is linked to COCOA CHIROPRACTIC CENTER PA?
COCOA CHIROPRACTIC CENTER PA shows a connection to Cocoa, Florida in registry-derived data.
Can I export COCOA CHIROPRACTIC CENTER PA's record?
You can download the official NPPES record; we summarize key fields for readability.

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