Active NPI
Jonathan Mitton, DO
- Pediatrics Physician
- Eagle Mountain, UT
National Provider Identifier
1992440143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 8962266-1204
- Practice address
- 3578 E Pony Express Pkwy
Eagle Mountain, UT 84005-6088 - Phone
- (801) 435-7980
- NPI assigned
- May 2, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | R3764 | AZ | |
| Pediatrics Physician | 208000000X | 8962266-1204 | UT | Primary |
Addresses
Primary practice location
3578 E Pony Express Pkwy
Eagle Mountain, UT 84005-6088
Mailing address
3578 E Pony Express Pkwy
Eagle Mountain, UT 84005-6088
Other practice location 1
1501 N Campbell Ave
Tucson, AZ 85724-0001
Phone (520) 626-7944
Other practice location 2
3578 E Pony Express Pkwy
Eagle Mountain, UT 84005-6088
Phone (801) 435-7980
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R3764 | AZ | MD | Pediatrics Physician |
| 8962266-1204 | UT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utah Valley Pediatrics L.L.C. | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Provo, UT
- NPI 1497812721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751241600000",
"number": "1992440143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3578 E PONY EXPRESS PKWY",
"city": "EAGLE MOUNTAIN",
"state": "UT",
"postal_code": "840056088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3578 E PONY EXPRESS PKWY",
"city": "EAGLE MOUNTAIN",
"state": "UT",
"postal_code": "840056088",
"telephone_number": "801-435-7980"
}
],
"practiceLocations": [
{
"address_1": "1501 N Campbell Ave",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857240001",
"country_code": "US",
"telephone_number": "520-626-7944",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3578 E Pony Express Pkwy",
"address_purpose": "LOCATION",
"city": "Eagle Mountain",
"state": "UT",
"postal_code": "840056088",
"country_code": "US",
"telephone_number": "801-435-7980",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MITTON",
"first_name": "JONATHAN",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-02",
"last_updated": "2025-06-30",
"certification_date": "2025-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "R3764",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "UT",
"license": "8962266-1204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagle Mountain, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.