Individual provider Active NPI

Matthew Thomas Swearingen, D.C.

  • Chiropractor
  • Corning, NY
National Provider Identifier
1164527719
Registry record updated Jan 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X010840-2 Issued in NY
Practice address
139 Walnut St
Ste 103
Corning, NY 14830-2545
Phone
(607) 333-6038
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X010840-2 NY Primary

Addresses

Primary practice location

139 Walnut St
Ste 103
Corning, NY 14830-2545

Mailing address

139 Walnut St
Ste 103
Corning, NY 14830-2545
Phone (607) 333-6038

Other practice location 1

611 N Franklin St
Watkins Glen, NY 14891-1302
Phone (607) 738-6142

Other identifiers 2

IdentifierTypeStateIssuer
J900056649OtherNYMEDICARE
C10840-9WOtherNMWORKER'S COMP. #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040712000195 NY Practitioner - Chiropractic 9537147020 Practice locations: Corning, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

139 Walnut St
Suite 103
Corning, NY 14830-2545
Phone (607) 333-6038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X010840-2NYMDChiropractor
010840NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Storms Family Chiropractic Chiropractor PastSince Aug 23, 2017 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642896000000",
    "number": "1164527719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 WALNUT ST",
            "address_2": "STE 103",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302545",
            "telephone_number": "607-333-6038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 WALNUT ST",
            "address_2": "STE 103",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302545",
            "telephone_number": "607-333-6038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 N Franklin St",
            "address_purpose": "LOCATION",
            "city": "Watkins Glen",
            "state": "NY",
            "postal_code": "148911302",
            "country_code": "US",
            "telephone_number": "607-738-6142",
            "fax_number": "607-796-9494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWEARINGEN",
        "first_name": "MATTHEW",
        "middle_name": "THOMAS",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2022-01-23",
        "certification_date": "2022-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010840-2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "J900056649",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKER'S COMP. #",
            "identifier": "C10840-9W",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corning, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2022; 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.

Verify at the official NPI Registry.