Jordan Andrade, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2025032488 Issued in MO

Practice address

4171 Crescent Dr Ste 102
Saint Louis, MO 63129-3645

Phone

(314) 200-3880

NPI assigned

Jun 17, 2026

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1781654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1912832254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S CLAY AVE APT 2A",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631225964",
            "telephone_number": "480-285-9973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4171 CRESCENT DR STE 102",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631293645",
            "telephone_number": "314-200-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRADE",
        "first_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-06-17",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2025032488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Anderson, OT
• Taylor Anderson, AGNP
• Taylor Austin Anderson, SRNA
• Julia Ellen Andert, RN
• Jeremy Andis, PHARMD
• Micah Kahakaioikamalie Andrade, ACNP
• John O Andreas, DDS
• Nikolaos Andreatos, MD
• Lauren Helena Andree
• Teresa Louise Andreone, M.D., PH.D.

• General Practice Dentistry in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.