Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Cody Lee Kruckenberg, DC

Individual provider Chiropractor · NPI 1790175388

Dr. Cody Lee Kruckenberg, DC is a Chiropractic in Brandon, South Dakota. Graduated from Northwestern College of Chiropractic in 2013, 13 years ago. Practices as a sole proprietor. Licensed in Alaska and South Dakota.

Years since qualifying
13
Trained at
Northwestern College of Chiropractic
Licensed in
AK, SD
In the registry since
2015
Specialties on file
2
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

312 E Holly Blvd
Brandon, SD 57005
Phone: (605) 254-7735
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 1333 (SD)
Chiropractor Taxonomy 111N00000X · Licence 600 (AK)

Record details

NPI number1790175388
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedFebruary 3, 2015
Last updated in NPPESMay 16, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolNORTHWESTERN COLLEGE OF CHIROPRACTIC
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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