Organization Active NPI

Agape Family Chiropractic, LLC

  • Chiropractor
  • Williamsburg, IA
National Provider Identifier
1073901302
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007280 Issued in IA
Legal business name
AGAPE FAMILY CHIROPRACTIC, LLC
Practice address
513 Court St
Williamsburg, IA 52361-9429
Phone
(319) 668-8196
NPI assigned
Jan 9, 2015
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Mary J Dejarnatt, DCNPI 1689989766
Title
Owner/Provider
Phone
(319) 668-8196

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 5

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161021000165 IA Part B Supplier - Clinic/Group Practice 7315225679 Receives reassigned benefits from 4 practitioners
Practice locations: Williamsburg, IA

National Provider Directory

National Provider Directory

Locations

513 Court St
Williamsburg, IA 52361
Phone (319) 668-8196

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 007280 IA Primary

Addresses

NPPES NPI Registry

Primary practice location

513 Court St
Williamsburg, IA 52361-9429

Mailing address

513 Court St
Williamsburg, IA 52361-9429
Phone (319) 668-8196

Other practice location 1

213 S Main St
North English, IA 52316-9518
Phone (319) 664-3145

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 17, 2025.

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763337600000",
    "number": "1073901302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 COURT ST",
            "city": "WILLIAMSBURG",
            "state": "IA",
            "postal_code": "523619429",
            "telephone_number": "319-668-8196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 COURT ST",
            "city": "WILLIAMSBURG",
            "state": "IA",
            "postal_code": "523619429",
            "telephone_number": "319-668-8196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "213 S Main St",
            "address_purpose": "LOCATION",
            "city": "North English",
            "state": "IA",
            "postal_code": "523169518",
            "country_code": "US",
            "telephone_number": "319-664-3145",
            "fax_number": "319-668-1054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AGAPE FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-09",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A",
        "authorized_official_last_name": "DEJARNATT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "319-668-8196",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.