Jack Botros, DDS, MS
Jack Botros, DDS, MS is a provider specialising in Orofacial Pain Dentistry in Minneapolis, MN, registered under NPI 1912721150. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 515 DELAWARE ST SE RM 6-440K, Minneapolis, MN 55455. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| FF94 | MN | Orofacial Pain Dentistry primary |
This provider holds licence FF94 issued in MN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Orofacial Pain
- PAC ID
- 5698202372
- Enrollment ID
- I20241218004175
Medicare enrolment is recorded as approved under the provider type Practitioner - Orofacial Pain. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Orofacial Pain covers
A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain. NUCC Health Care Provider Taxonomy, code 1223X2210X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1912721150 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Nov 13, 2024 |
| Last updated | Nov 14, 2024 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | DDS, MS |
| Practice address |
515 DELAWARE ST SE RM 6-440K Minneapolis, MN 55455 (213) 272-7573 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 9 | 1 | 2 | 7 | 2 | 1 | 1 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 9 | 2 | 2 | 5 | 2 | 2 | 1 | 1 |
Sum = 50 · next multiple of 10 = 50 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.