Nathaniel Allan Mitchell, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14009214-9923 Issued in UT

Practice address

820 N Main St Ste B
Layton, UT 84041-2228

Phone

(801) 771-8000

NPI assigned

May 25, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Layton Smiles Dentistry, LLP

  • Dentist
  • Layton, UT
  • NPI 1922349638
  NPD (past)

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1831881952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "956 S PHEASANT VIEW CIR",
            "city": "FRUIT HEIGHTS",
            "state": "UT",
            "postal_code": "840373300",
            "telephone_number": "971-284-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 N MAIN ST STE B",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840412228",
            "telephone_number": "801-771-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "NATHANIEL",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-25",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "14009214-9923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riley Miskho
• Braden D Mitchell, RPH
• Brian Paul Mitchell, PMHNP
• Jessica Mitchell
• Kimberly Tess Mitchell
• Philip Mitchell, LCSW
• Ryan Mitchell
• Tanya Mitchell, NP-C
• Gerald Miya, DDS
• Sara C Mleso, FNP

• General Practice Dentistry in Layton, UT
• Providers in Layton, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.