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DR. JORDAN ANDRADE DMD
NPI 1912832254
Dentist - General Practice in Saint Louis, MO

Active since June 17, 2026
4171 CRESCENT DR STE 102, SAINT LOUIS, MO 63129(314) 200-3880 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jordan Andrade Dmd NPPES

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

DR. JORDAN ANDRADE DMD (NPI 1912832254) is an individual general practice provider in Saint Louis, Missouri, licensed in Missouri (2025032488) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1912832254
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JORDAN ANDRADECredential: DMD
Location Address4171 CRESCENT DR STE 102Saint Louis, MO 63129-3645
Mailing Address550 S Clay Ave Apt 2aKirkwood, MO 63122-5964 · (480) 285-9973
Phone(314) 200-3880
Sole ProprietorYes
Enumeration DateJune 17, 2026
NPPES CertifiedJune 17, 2026
✔ NPI 1912832254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MO · 2025032488
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.
4171 CRESCENT DR STE 102, Saint Louis, MO 63129
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

GARRET GONZALES DDS
Dentist
4171 CRESCENT DR STE 102
SAINT LOUIS, MO 63129
St. Louis County (314) 200-3880
ANGELICA SONG DMD
Independent Medical Examiner
4171 CRESCENT DR STE 102
SAINT LOUIS, MO 63129
St. Louis County (314) 742-8038
DR. ALEXANDER AHMADI DMD
Dentist (General Practice)
4171 CRESCENT DR STE 102
SAINT LOUIS, MO 63129
St. Louis County (314) 200-3880

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 Jordan Andrade's NPI number?

The NPI number for Jordan Andrade is 1912832254. It was assigned to this individual provider in the NPPES registry on June 17, 2026.

Where is Jordan Andrade located?

Jordan Andrade practices at 4171 Crescent Dr Ste 102, Saint Louis, MO 63129. The listed phone number is (314) 200-3880.

What is Jordan Andrade'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 Jordan Andrade was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days 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.