Organization Active NPI

Reciprocate 1906 LLC

  • Social Worker
  • Miami Gardens, FL
National Provider Identifier
1992121354
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
RECIPROCATE 1906 LLC
Practice address
18425 NW 2ND Ave
Suite 330
Miami Gardens, FL 33169-4534
Phone
(786) 916-3960
Fax
(786) 916-3962
NPI assigned
Mar 10, 2014
Last updated
Mar 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Authorized official

Name
Dustin Gollopp
Title
President
Phone
(786) 916-3960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

18425 NW 2ND Ave
Suite 330
Miami Gardens, FL 33169-4534

Mailing address

18425 NW 2ND Ave
Suite 330
Miami Gardens, FL 33169-4534
Phone (786) 916-3960

National Provider Directory

National Provider Directory
Tax ID family
Reciprocate 1906 LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

18425 NW 2nd Ave
Ste 330
Miami Gardens, FL 33169
Phone (305) 916-3960

NPI Registry JSON

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1992121354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18425 NW 2ND AVE",
            "address_2": "SUITE 330",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694534",
            "telephone_number": "786-916-3960",
            "fax_number": "786-916-3962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18425 NW 2ND AVE",
            "address_2": "SUITE 330",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694534",
            "telephone_number": "786-916-3960",
            "fax_number": "786-916-3962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECIPROCATE 1906 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-10",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "GOLLOPP",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-916-3960"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.