TYSDAL CHIROPRACTIC LLC
NPI 1730455122
Chiropractor in Fergus Falls, MN

Active since March 29, 2012
17116 RIVER OAKS BLVD, FERGUS FALLS, MN 56537(218) 205-8194 Get Directions Write a Review

NPPES record last updated: March 29, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tysdal Chiropractic Llc NPPES

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

TYSDAL CHIROPRACTIC LLC (NPI 1730455122) is a healthcare organization registered as a chiropractor in Fergus Falls, Minnesota and active in the NPI registry since March 2012. The organization lists Zackary A Tysdal, Owner, as its authorized official.

NPPES Registry Identity

NPI1730455122
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameTYSDAL CHIROPRACTIC LLC
Location Address17116 RIVER OAKS BLVDFergus Falls, MN 56537-7623
Mailing Address17116 River Oaks BlvdFergus Falls, MN 56537-7623 · (218) 205-8194
Organization SubpartNo
Authorized OfficialZackary A TysdalOwner · (218) 205-8194
Enumeration DateMarch 29, 2012
✔ NPI 1730455122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 5343
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.
17116 RIVER OAKS BLVD, Fergus Falls, MN 56537

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tysdal Chiropractic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Tysdal Chiropractic LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Chiropractic
NPI 1154833127
402 W LINCOLN AVE
Fergus Falls, MN 56537
(218) 998-1099
✔ Accepts Medicare2.4 mi
Chiropractic
NPI 1437489648
402 W LINCOLN AVE
Fergus Falls, MN 56537
(218) 998-1099
✔ Accepts Medicare2.4 mi

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

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 Tysdal Chiropractic LLC's NPI number?

The NPI number for Tysdal Chiropractic LLC is 1730455122. It was assigned to this organization in the NPPES registry on March 29, 2012.

Where is Tysdal Chiropractic LLC located?

Tysdal Chiropractic LLC is located at 17116 River Oaks Blvd, Fergus Falls, MN 56537. The listed phone number is (218) 205-8194.

What is Tysdal Chiropractic LLC's specialty?

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

Is Tysdal Chiropractic LLC enrolled in Medicare?

Yes. Tysdal Chiropractic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tysdal Chiropractic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Tysdal Chiropractic LLC. A 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 the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Tysdal Chiropractic LLC accept?

Health plans from HealthPartners and Sanford Health Plan list Tysdal Chiropractic LLC 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 Tysdal Chiropractic LLC was last updated on March 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.