NPIMap

Organization Active NPI

Bond Community Health Center, Inc.

Doing business as The Smile Connection at Sabal Palm

  • Federally Qualified Health Center (FQHC)
  • Tallahassee, FL
National Provider Identifier
1972214419
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
BOND COMMUNITY HEALTH CENTER, INC.
Doing business as
The Smile Connection at Sabal Palm
Practice address
2813 Ridgeway St
Tallahassee, FL 32310-5003
Phone
(850) 576-4073
NPI assigned
Dec 6, 2022
Organization subpart
Yes
Parent organization
BOND COMMUNITY HEALTH CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Authorized official

Name
Temple O Robinson, MD
Title
Ceo
Phone
(850) 576-4073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

2813 Ridgeway St
Tallahassee, FL 32310-5003

Mailing address

1720 S Gadsden St
Tallahassee, FL 32301-5506

Other names 1

  • The Smile Connection at Sabal Palm Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bond Community Health Center5 organizations share this tax ID, including this one
Part of
Bond Community Health Center

Other organizations with this tax ID 4

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

Locations

2813 Ridgeway St
Tallahassee, FL 32310
Phone (850) 576-4073

NPI Registry JSON

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1972214419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 S GADSDEN ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323015506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2813 RIDGEWAY ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323105003",
            "telephone_number": "850-576-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOND COMMUNITY HEALTH CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOND COMMUNITY HEALTH CENTER, INC",
        "enumeration_date": "2022-12-06",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "TEMPLE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-576-4073",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Smile Connection at Sabal Palm",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Smile Connection at Sabal Palm",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.