Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

TIMOTHY SMALL
NPI 1093610081
Student in an Organized Health Care Education/Training Program in Joplin, MO

Active since October 10, 2026
2901 SAINT JOHNS BLVD, JOPLIN, MO 64804(417) 208-0630 Get Directions Write a Review

NPPES record added: October 10, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Timothy Small NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY SMALL (NPI 1093610081) is an individual student in an organized health care education/training program in Joplin, Missouri and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1093610081
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTIMOTHY SMALL
Location Address2901 SAINT JOHNS BLVDJoplin, MO 64804-1598
Mailing Address2901 Saint Johns BlvdJoplin, MO 64804-1598
Sole ProprietorNo
Enumeration DateOctober 10, 2026
NPPES CertifiedOctober 10, 2026
✔ NPI 1093610081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2901 SAINT JOHNS BLVD, Joplin, MO 64804

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
2901 SAINT JOHNS BLVD
JOPLIN, MO 64804
Dentist (Oral and Maxillofacial Pathology)
2901 SAINT JOHNS BLVD
JOPLIN, MO 64804
Student in an Organized Health Care Education/Training Program
2901 SAINT JOHNS BLVD
JOPLIN, MO 64804
Orthopaedic Surgery (Orthopaedic Trauma)
2901 SAINT JOHNS BLVD
JOPLIN, MO 64804
Dentist (General Practice)
2901 SAINT JOHNS BLVD
JOPLIN, MO 64804
Student in an Organized Health Care Education/Training Program
2901 SAINT JOHNS BLVD
JOPLIN, MO 64804
Student in an Organized Health Care Education/Training Program
2901 SAINT JOHNS BLVD
JOPLIN, MO 64804
Student in an Organized Health Care Education/Training Program
2901 SAINT JOHNS BLVD
JOPLIN, MO 64804

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Small's NPI number?

The NPI number for Timothy Small is 1093610081. It was assigned to this individual provider in the NPPES registry on October 10, 2026.

Where is Timothy Small located?

Timothy Small practices at 2901 Saint Johns Blvd, Joplin, MO 64804. The listed phone number is (417) 208-0630.

What is Timothy Small's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Timothy Small was last updated on October 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.