DR. JACK LOUIS CHURCHILL D.D.S.
NPI 1427154020
Dentist - General Practice in Minneapolis, MN

Q: What is Jack Churchill's NPI number?

The NPI number for Jack Churchill is 1427154020. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Q: What is Jack Churchill's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jack Churchill was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 15, 2006

825 NICOLLET MALL, 1427 MEDICAL ARTS BLDG, MINNEAPOLIS, MN 55402(612) 333-8988(612) 339-3618 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

On this page

About Dr. Jack Louis Churchill D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK LOUIS CHURCHILL D.D.S. (NPI 1427154020) is an individual general practice provider in Minneapolis, Minnesota, licensed in Minnesota (8747) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1427154020

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JACK LOUIS CHURCHILLCredential: D.D.S.

Location Address825 NICOLLET MALL, 1427 MEDICAL ARTS BLDGMinneapolis, MN 55402-2606

Mailing Address14615 13th Pl NPlymouth, MN 55447-4526 · (763) 475-3710 · Fax (763) 475-2784

Phone(612) 333-8988

Fax(612) 339-3618

Sole ProprietorYes

Enumeration DateSeptember 15, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1427154020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MN · 8747

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

825 NICOLLET MALL, Minneapolis, MN 55402

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. VIRGINIA ANNE MCDERMOTT PH.D.

Psychologist

825 NICOLLET MALL, SUITE 1630
MINNEAPOLIS, MN 55402

Hennepin County (612) 673-9988

SKIN SPECIALISTS, LTD.

Dermatology

825 NICOLLET MALL, SUITE 1002
MINNEAPOLIS, MN 55402

Hennepin County (612) 338-0711

DR. GARY M FINE

Dentist

825 NICOLLET MALL
MINNEAPOLIS, MN 55402

Hennepin County (612) 332-1336

BIRCHWOOD DENTAL OF MINNEAPOLIS

Dentist (General Practice)

825 NICOLLET MALL, 829 MEDICAL ARTS BLDG
MINNEAPOLIS, MN 55402

Hennepin County (612) 333-8677

DOWNTOWN SKYWAY FOOT SPECIALISTS INC

Podiatrist (Foot Surgery)

825 NICOLLET MALL, SUITE 517 MEDICAL ARTS BLDG
MINNEAPOLIS, MN 55402

Hennepin County (612) 332-7720

ADVANCED FOOT CARE CLINIC,LTD

Podiatrist

825 NICOLLET MALL, SUITE 601
MINNEAPOLIS, MN 55402

Hennepin County (763) 550-1013

MARK ALAN JOHNSON D.C.

Chiropractor

825 NICOLLET MALL, STE 1845
MINNEAPOLIS, MN 55402

Hennepin County (612) 332-8292

PAIN & INJURY CENTER PLLC

Physical Medicine & Rehabilitation (Pain Medicine)

825 NICOLLET MALL, SUITE #1453
MINNEAPOLIS, MN 55402

Hennepin County (612) 886-1562

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Churchill's NPI number?

The NPI number for Jack Churchill is 1427154020. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Jack Churchill located?

Jack Churchill practices at 825 Nicollet Mall 1427 Medical Arts Bldg, Minneapolis, MN 55402. The listed phone number is (612) 333-8988.

What is Jack Churchill's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jack Churchill was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.