Coburn Family Chiropractic, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X007999-1 Issued in NY

Legal business name

COBURN FAMILY CHIROPRACTIC, P.C.

Practice address

1914 Colvin Blvd
Tonawanda, NY 14150-6973

Phone

(716) 835-5000

Fax

(716) 832-4492

NPI assigned

Oct 14, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Matthew R Coburn, D.C.NPI 1174694301

Title

Owner

Phone

(716) 835-5000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Ross Coburn, D.C.

  • Chiropractor
  • Tonawanda, NY
  • NPI 1174694301
  Medicare reassignment NPD Authorized official
• Nicholas Donald Hirschfelt, DC

  • Chiropractor
  • Buffalo, NY
  • NPI 1821190091
  NPD (past)
• Marilyn Wray, LCSW-R

  • Clinical Social Worker
  • Tonawanda, NY
  • NPI 1174547004
  NPD (past)

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1730550997",
    "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": {
        "organization_name": "COBURN FAMILY CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "COBURN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-835-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X007999-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda M Cleesattel, MS, OTR/L
• Sarah Sheehan Cleveland, RPA-C
• Nancy Cliff, RN, MSN
• Amy Lyn Close, LMHC
• Aubrey Cluck, MD
• Matthew Ross Coburn, D.C.
• Melissa Coddington
• Ashley Ann Coe, PA
• Andrea Coleman, RN
• Dawn Colosimo

• 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 Oct 14, 2015; 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.

Verify at the official NPI Registry.