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DR. MATTHEW ROSS COBURN D.C.
NPI 1174694301
Chiropractor in Tonawanda, NY

Active since November 10, 2006
1914 COLVIN BLVD, TONAWANDA, NY 14150(716) 835-5000(716) 832-4492 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Matthew Ross Coburn D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MATTHEW ROSS COBURN D.C. (NPI 1174694301) is an individual chiropractor in Tonawanda, New York, licensed in New York (X007999-1) and active in the NPI registry since November 2006. He is a graduate of Life Chiropractic College (1995).

NPPES Registry Identity

NPI1174694301
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. MATTHEW ROSS COBURNCredential: D.C.
Location Address1914 COLVIN BLVDTonawanda, NY 14150-6973
Mailing Address1914 Colvin BlvdTonawanda, NY 14150-6973 · (716) 835-5000 · Fax (716) 832-4492
Phone(716) 835-5000
Fax(716) 832-4492
Sole ProprietorYes
Medical School CMSLife Chiropractic CollegeGraduated 1995
Enumeration DateNovember 10, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1174694301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NY · X007999-1
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1914 COLVIN BLVD, Tonawanda, NY 14150
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type Unspecified11717BNY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Matthew Ross Coburn D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921161563
PECOS Enrollment IDI20090108000455

Medicare Billing Reassignment

Medicare enrollment records show Matthew Coburn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Coburn Family Chiropractic, P.C.
Same address
Chiropractor
1914 COLVIN BLVD
Tonawanda, NY 14150
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Coburn Family Chiropractic PC
NPI 1730550997 (716) 835-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
366 services25 patients

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PROF. GEORGIANA HAUMANN JUNGELS MA, ATR-BC, LCAT
Art Therapist
1914 COLVIN BLVD, SUITE 101
TONAWANDA, NY 14150
Erie County (716) 837-8333
PUTNAM ANGER ASSOCIATES INC
Social Worker (Clinical)
1914 COLVIN BLVD, SUITE 102
TONAWONDA, NY 14150
Erie County (716) 837-8333
MARILYN WRAY LCSW-R
Social Worker (Clinical)
1914 COLVIN BLVD
TONAWANDA, NY 14150
Erie County (716) 510-7644
MRS. ERIN FERRANTE LMT
Specialist
1914 COLVIN BLVD
TONAWANDA, NY 14150
Erie County (716) 597-1286
MR. KEVIN JULIANO
Acupuncturist
1914 COLVIN BLVD
TONAWANDA, NY 14150
Erie County (716) 525-8761
COBURN FAMILY CHIROPRACTIC, P.C.
Chiropractor
1914 COLVIN BLVD
TONAWANDA, NY 14150
Erie County (716) 835-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Coburn's NPI number?

The NPI number for Matthew Coburn is 1174694301. It was assigned to this individual provider in the NPPES registry on November 10, 2006.

Where is Matthew Coburn located?

Matthew Coburn practices at 1914 Colvin Blvd, Tonawanda, NY 14150. The listed phone number is (716) 835-5000.

What is Matthew Coburn's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Matthew Coburn enrolled in Medicare?

Yes. Matthew Coburn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Matthew Coburn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Coburn reassigns Medicare benefits to Coburn Family Chiropractic, P.C. (Tonawanda, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Coburn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Matthew Coburn was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.