DR. JOHN TYSDAL DC
NPI 1760147508
Chiropractor in Magnolia, TX

Active since November 06, 2021Accepts Medicare Assignment
18015 FM 1488 RD STE D, MAGNOLIA, TX 77354(346) 468-1300 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 21, 2025, Nov 6, 2021 (2 updates tracked since 2021).

About Dr. John Tysdal Dc NPPES

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

DR. JOHN TYSDAL DC (NPI 1760147508) is an individual chiropractor in Magnolia, Texas, licensed in Texas (15961) and active in the NPI registry since November 2021. He is a graduate of Other (2021).

NPPES Registry Identity

NPI1760147508
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JOHN TYSDALCredential: DC
Location Address18015 FM 1488 RD STE DMagnolia, TX 77354-8520
Mailing Address18015 Fm 1488 Rd Ste DMagnolia, TX 77354-8520 · (346) 468-1300
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 6, 2021
Last NPPES UpdateNovember 21, 20252 updates tracked since enumeration
NPPES CertifiedNovember 21, 2025
✔ NPI 1760147508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in TX · 15961
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.
18015 FM 1488 RD STE D, Magnolia, TX 77354

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. John Tysdal Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062801020
PECOS Enrollment IDI20260127001509

Medicare Billing Reassignments

2

Medicare enrollment records show John Tysdal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Chiropractor
18015 FM 1488 RD STE D
Magnolia, TX 77354
  • Reassigned Medicare billing, Texas enrollment
Chiropractor
501 HIGHWAY 52 BYP W
Lafayette, TN 37083
  • Reassigned Medicare billing, Tennessee enrollment
  • 7 clinicians in this Medicare group

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, 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.
171 services15 patients

Other Providers at the Same Location NPPES

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

Chiropractor
18015 FM 1488 RD STE D
MAGNOLIA, TX 77354

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 John Tysdal's NPI number?

The NPI number for John Tysdal is 1760147508. It was assigned to this individual provider in the NPPES registry on November 6, 2021.

Where is John Tysdal located?

John Tysdal practices at 18015 Fm 1488 Rd Ste D, Magnolia, TX 77354. The listed phone number is (346) 468-1300.

What is John Tysdal's specialty?

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

Is John Tysdal enrolled in Medicare?

Yes. John Tysdal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for John Tysdal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Tysdal reassigns Medicare benefits to 2 organizations: Southern Wellness Chiropractic PLLC (Magnolia, TX) and Spine Stop Lafayette, PLLC (Lafayette, TN). Each 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 John Tysdal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Tysdal accept?

Health plans from Oscar Insurance Company list John Tysdal 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 John Tysdal was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.