Individual provider Active NPI

Timothy Allen Wilbanks, D.C.

  • Chiropractor
  • Washington, IA
National Provider Identifier
1861684078
Registry record updated Aug 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06764 Issued in IA
Practice address
109 N Marion Ave
Washington, IA 52353-1728
Phone
(319) 653-5381
NPI assigned
Aug 11, 2007
Last updated
Aug 11, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06764 IA Primary

Addresses

Primary practice location

109 N Marion Ave
Washington, IA 52353-1728

Mailing address

109 N Marion Ave
Washington, IA 52353-1728
Phone (319) 653-5381

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250319001617 WI Practitioner - Chiropractic 0345299129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

416 W Main St
Cambridge, WI 53523-9144
Phone (608) 423-4666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Health Chiropractor CurrentSince Sep 3, 2025 Accepting new patients
Cambridge Clinic of Chiropractic, L.C.C. Chiropractor CurrentSince Sep 3, 2025 Accepting new patients
Brooklyn Chiropractic, P.L.C. PastSince Aug 9, 2007 Accepting new patients
Washington Chiropractic & Wellness Center LLC Chiropractor PastSince Mar 4, 2016 Accepting new patients
Central Jefferson Chiropractic Chiropractor PastSince Mar 12, 2025 Accepting new patients

Locations

416 W Main St
Cambridge, WI 53523
Phone (608) 423-4666

Organizations & group practices 6

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": "1186790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186790400000",
    "number": "1861684078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 N MARION AVE",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523531728",
            "telephone_number": "319-653-5381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N MARION AVE",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523531728",
            "telephone_number": "319-653-5381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBANKS",
        "first_name": "TIMOTHY",
        "middle_name": "ALLEN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-11",
        "last_updated": "2007-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2007; 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.