Heritage Health

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

HERITAGE HEALTH

Practice address

416 W Main St
Cambridge, WI 53523-9144

Phone

(608) 423-4666

NPI assigned

Aug 4, 2025

Organization subpart

No

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

Authorized official

Name

Timothy Wilbanks, DCNPI 1861684078

Title

Owner

Phone

(319) 321-2494

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Allen Wilbanks, D.C.

  • Chiropractor
  • Washington, IA
  • NPI 1861684078

  Chiropractor, WI

  Medicare reassignment NPD Authorized official
• Matthew David Dipiazza, D.C.

  • Chiropractor
  • Cambridge, WI
  • NPI 1295793925
  NPD

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

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754265600000",
    "number": "1538043344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 117",
            "city": "SULLIVAN",
            "state": "WI",
            "postal_code": "531780117",
            "telephone_number": "319-321-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 W MAIN ST",
            "city": "CAMBRIDGE",
            "state": "WI",
            "postal_code": "535239144",
            "telephone_number": "608-423-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A",
        "authorized_official_last_name": "WILBANKS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-321-2494",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisa Eikland
• Mackenzie Lee Eliszewski, PHARMD
• Karen A Goderstad, REGISTERED NURSE
• Karen J Guetzkow
• Heaven Scent House
• Patricia Mary Hobbins-Kemps, LPN
• Jaymarie Jach
• Breah Klemp, PA-C
• Nicholas Stephen Lapidakis-Schrader
• Lisa R Larson, R.N.

• All providers in Cambridge, WI
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.