Matthew Ross Coburn, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X007999-1 Issued in NY

Practice address

1914 Colvin Blvd
Tonawanda, NY 14150-6973

Phone

(716) 835-5000

Fax

(716) 832-4492

NPI assigned

Nov 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1995

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Coburn Family Chiropractic, P.C.

  • Chiropractor
  • Tonawanda, NY
  • NPI 1730550997
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174694301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 COLVIN BLVD",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141506973",
            "telephone_number": "716-835-5000",
            "fax_number": "716-832-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 COLVIN BLVD",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141506973",
            "telephone_number": "716-835-5000",
            "fax_number": "716-832-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBURN",
        "first_name": "MATTHEW",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X007999-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Sheehan Cleveland, RPA-C
• Nancy Cliff, RN, MSN
• Amy Lyn Close, LMHC
• Aubrey Cluck, MD
• Coburn Family Chiropractic, P.C.
• Melissa Coddington
• Ashley Ann Coe, PA
• Andrea Coleman, RN
• Dawn Colosimo
• Thomas Edison Comerford IV, DO

• Chiropractor in Tonawanda, NY
• Providers in Tonawanda, NY by specialty
• Chiropractor in New York

• 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.
• 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.