THE AGAPE CLINIC
NPI 1205511334
Family Medicine in Dallas, TX

NPI Status: Active since June 16, 2023

Contact Information

4104 JUNIUS ST
DALLAS, TX
ZIP 75246
Phone: (972) 707-7776

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  • Organization
  • Family Medicine
  • CLIA Number: 45D2177042
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 01-01-2028

About THE AGAPE CLINIC

This page provides the complete NPI Profile along with additional information for The Agape Clinic, a primary care provider established in Dallas, Texas operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1205511334 assigned on June 2023. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The Agape Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Amy Dunivan (Director Of Development)

NPI
1205511334
Provider Name
THE AGAPE CLINIC
Entity Type
Organization
Location Address
4104 JUNIUS ST DALLAS, TX 75246
Location Phone
(972) 707-7776
Mailing Address
4104 JUNIUS ST DALLAS, TX 75246
Mailing Phone
(972) 707-7776
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-16-2023
Last Update Date
06-16-2023
Code Navigator

A primary care provider (PCP) like The Agape Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

AMY DUNIVAN

Authorized Official Title
DIRECTOR OF DEVELOPMENT
Authorized Official Phone
(972) 707-7782

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D2177042
Facility Type
Community Clinic
Certificate Effective Date
January 02, 2026
Certificate Expiration Date
January 01, 2028
Laboratory Director
YOLANDA ESCALANTE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to The Agape Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1205511334, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
1
Unchanged
Pos 7
1
Doubled → 2
Pos 8
3
Unchanged
Pos 9
3
Doubled → 6
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 5 → 10 → 1 1 → 2 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 0 + 5 + 1 + 0 + 1 + 2 + 3 + 6 + 24 = 46

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1205511334.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
4104 JUNIUS ST
DALLAS, TX 75246
Nurse Practitioner (Family)
4104 JUNIUS ST
DALLAS, TX 75246
Nurse Practitioner (Family)
4104 JUNIUS ST
DALLAS, TX 75246
Clinic/Center (Federally Qualified Health Center (FQHC))
4104 JUNIUS ST
DALLAS, TX 75246
Nurse Practitioner (Family)
4104 JUNIUS ST
DALLAS, TX 75246
Nurse Practitioner (Family)
4104 JUNIUS ST
DALLAS, TX 75246
Physician Assistant
4104 JUNIUS ST
DALLAS, TX 75246
Clinic/Center (Federally Qualified Health Center (FQHC))
4104 JUNIUS ST
DALLAS, TX 75246
Nurse Practitioner
4104 JUNIUS ST
DALLAS, TX 75246

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205511334, enumerated as an "organization" on June 16, 2023.

The provider is located at 4104 JUNIUS ST DALLAS, TX 75246 and the phone number is (972) 707-7776.

Family Medicine with taxonomy code 207Q00000X.