Active NPI
Theron Small
- Peer Specialist
- Box Elder, MT
National Provider Identifier
1972300366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- BBH-BHPS-CRT-39077
- Practice address
- Rocky Boy Health Center
6850 Upper Box Elder Rd
Box Elder, MT 59521 - Phone
- (406) 395-4486
- NPI assigned
- Feb 25, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | BBH-BHPS-CRT-39077 | MT | Primary |
Addresses
Primary practice location
Rocky Boy Health Center
6850 Upper Box Elder Rd
Box Elder, MT 59521
Mailing address
2048 Haystack Loop
Box Elder, MT 59521
Phone (406) 399-3512
Other practice location 1
2048 Haystack loop
Box Elder, MT 59521
Phone (406) 399-3512
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BBH-BHPS-CRT-39077 | MT | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740441600000",
"number": "1972300366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2048 HAYSTACK LOOP",
"city": "BOX ELDER",
"state": "MT",
"postal_code": "59521",
"telephone_number": "406-399-3512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ROCKY BOY HEALTH CENTER",
"address_2": "6850 UPPER BOX ELDER RD",
"city": "BOX ELDER",
"state": "MT",
"postal_code": "59521",
"telephone_number": "406-395-4486"
}
],
"practiceLocations": [
{
"address_1": "2048 Haystack loop",
"address_purpose": "LOCATION",
"city": "Box Elder",
"state": "MT",
"postal_code": "59521",
"country_code": "US",
"telephone_number": "406-399-3512",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMALL",
"first_name": "THERON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-02-25",
"last_updated": "2025-02-25",
"certification_date": "2025-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "MT",
"license": "BBH-BHPS-CRT-39077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Box Elder, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.