Individual provider Active NPI

Jonathan Mitton, DO

  • Pediatrics Physician
  • Eagle Mountain, UT
National Provider Identifier
1992440143
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
8962266-1204 Issued in UT
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

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
R3764AZMDPediatrics Physician
8962266-1204UTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.