Healthcare Provider Details

I. General information

NPI: 1932014438
Provider Name (Legal Business Name): ANDREW DAVID SMITH DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 1ST CAPITOL DR STE 409
SAINT CHARLES MO
63301-2886
US

IV. Provider business mailing address

2359 BAXTON WAY
CHESTERFIELD MO
63017-7808
US

V. Phone/Fax

Practice location:
  • Phone: 314-390-1049
  • Fax:
Mailing address:
  • Phone: 217-257-8665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2026031380
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: