Jared Heaton, D.O.

MOHS-Micrographic Surgery Physician · Bountiful, UT

Individual Active NPI

NPI number 1457666562

Practice location

320 W 500 S Ste 210
Bountiful, UT 84010-7254
Phone
(801) 797-9121
Fax
(801) 797-9182

Open in Google Maps

NPI record

NPI
1457666562
Entity type
Individual (Type 1)
Enumeration date
August 12, 2010
Last updated
May 14, 2025
Certified
May 14, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
MOHS-Micrographic Surgery Physician Primary 207ND0101X 9017921 UT
Dermatology Physician 207N00000X 9017921 UT
Procedural Dermatology Physician 207NS0135X 9017921 UT
Clinical & Laboratory Dermatological Immunology Physician 207NI0002X 9017921 UT

Other practice locations (3)

  • 307 N 300 W Ste 6, Kaysville, UT 84037-1852 · (801) 797-9121
  • 157 N Commercial St, Morgan, UT 84050-9570 · (801) 797-9121
  • 2909 Washington Blvd Ste 250, Ogden, UT 84401-3744 · (801) 797-9121

About Dr. Heaton

Jared Heaton, D.O. is a healthcare provider registered in the NPI registry with the primary taxonomy MOHS-Micrographic Surgery Physician (code 207ND0101X). The practice location is 320 W 500 S Ste 210, Bountiful, UT 84010-7254. The NPI number 1457666562 was assigned on August 12, 2010 and the record was last updated on May 14, 2025.

Dr. Heaton lists 4 licenses in the registry: #9017921 (UT) for MOHS-Micrographic Surgery Physician; #9017921 (UT) for Dermatology Physician; #9017921 (UT) for Procedural Dermatology Physician; #9017921 (UT) for Clinical & Laboratory Dermatological Immunology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jared Heaton, D.O.?

The NPI number is 1457666562.

What is the phone number of Dr. Heaton?

The phone number listed for the practice location is (801) 797-9121.

Where is Dr. Heaton located?

320 W 500 S Ste 210, Bountiful, UT 84010-7254.

What is the taxonomy code for Dr. Heaton?

The primary taxonomy code is 207ND0101X – MOHS-Micrographic Surgery Physician; 3 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other MOHS-Micrographic Surgery Physician providers in Bountiful

All MOHS-Micrographic Surgery Physician providers in Bountiful, UT →