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DR. CODY LEE KRUCKENBERG D.C.
NPI 1790175388
Chiropractor in Brandon, SD

Active since February 03, 2015
312 E HOLLY BLVD, BRANDON, SD 57005(605) 254-7735 Get Directions Write a Review

NPPES record last updated: May 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Cody Lee Kruckenberg D.c. NPPES

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

DR. CODY LEE KRUCKENBERG D.C. (NPI 1790175388) is an individual chiropractor in Brandon, South Dakota, licensed in South Dakota (1333) and active in the NPI registry since February 2015. He is a graduate of Northwestern College Of Chiropractic (2013).

NPPES Registry Identity

NPI1790175388
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. CODY LEE KRUCKENBERGCredential: D.C.
Location Address312 E HOLLY BLVDBrandon, SD 57005
Mailing Address312 E Holly BlvdBrandon, SD 57005-1240 · (605) 254-7735
Phone(605) 254-7735
Sole ProprietorYes
Medical School CMSNorthwestern College Of ChiropracticGraduated 2013
Enumeration DateFebruary 3, 2015
Last NPPES UpdateMay 16, 2018
✔ NPI 1790175388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in SD · 1333✔ Licensed in AK · 600
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.
312 E HOLLY BLVD, Brandon, SD 57005
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Cody Lee Kruckenberg D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385964600
PECOS Enrollment IDI20190314001038

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, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
362 services52 patients

Other Providers at the Same Location NPPES 3

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

DEANNE DONAWAY PHD, APRN-CNP
Nurse Practitioner (Adult Health)
312 E HOLLY BLVD
BRANDON, SD 57005
Minnehaha County (605) 250-1200
FIT FOR LIFE CHIROPRACTIC, LLC
Chiropractor
312 E HOLLY BLVD
BRANDON, SD 57005
Minnehaha County (605) 254-7735
CACEY SCHMIDT NP
Nurse Practitioner (Family)
312 E HOLLY BLVD
BRANDON, SD 57005
Minnehaha County (605) 250-1200

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 Cody Kruckenberg's NPI number?

The NPI number for Cody Kruckenberg is 1790175388. It was assigned to this individual provider in the NPPES registry on February 3, 2015.

Where is Cody Kruckenberg located?

Cody Kruckenberg practices at 312 E Holly Blvd, Brandon, SD 57005. The listed phone number is (605) 254-7735.

What is Cody Kruckenberg's specialty?

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

Is Cody Kruckenberg enrolled in Medicare?

Yes. Cody Kruckenberg is registered in the Medicare PECOS enrollment system.

What insurance does Cody Kruckenberg accept?

Health plans from Avera Health Plans, Medica and Sanford Health Plan list Cody Kruckenberg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cody Kruckenberg was last updated on May 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.