Individual provider Active NPI

Neil Truckenbrod, DC

  • Chiropractor
  • Cedarburg, WI
National Provider Identifier
1871399204
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6276-12 Issued in WI
Practice address
N144W6220 Pioneer Rd
Cedarburg, WI 53012-2723
Phone
(262) 377-3240
NPI assigned
Feb 25, 2025
Last updated
Feb 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6276-12 WI Primary

Addresses

Primary practice location

N144W6220 Pioneer Rd
Cedarburg, WI 53012-2723

Mailing address

W9037 Creek Rd
Darien, WI 53114-1257
Phone (262) 374-4512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250620001806 WI Practitioner - Chiropractic 4385156959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiropractic Company - West Allis North LTDGroup PAC ID 5294825063, 4 clinicians

Practice addresses (Care Compare)

10025 W Greenfield Ave
Suite 100
West Allis, WI 53214-3957
Phone (414) 292-3499

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6276-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Company - West Allis East LTD Chiropractor CurrentSince Jun 1, 2025 Accepting new patients
Chiropractic Company - West Allis North LTD Chiropractor CurrentSince Jun 1, 2025 Accepting new patients
Chiropractic Company - Cedarburg LTD Chiropractor PastSince Mar 11, 2025 Accepting new patients

Locations

10025 W Greenfield Ave
West Allis, WI 53214
Phone (260) 600-3757

10025 W Greenfield Ave
Ste 100
West Allis, WI 53214
Phone (414) 258-9777

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1871399204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W9037 CREEK RD",
            "city": "DARIEN",
            "state": "WI",
            "postal_code": "531141257",
            "telephone_number": "262-374-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N144W6220 PIONEER RD",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530122723",
            "telephone_number": "262-377-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUCKENBROD",
        "first_name": "NEIL",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "6276-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.