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
Last updated
Nov 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Authorized official

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.

Specialties & licenses 1

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

Addresses

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

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

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "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.