Organization Active NPI

Ada Dentistry and Braces

  • Dental Clinic/Center
  • Ada, OK
National Provider Identifier
1265052062
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ADA DENTISTRY AND BRACES
Practice address
1529 Hoppe Blvd
Ada, OK 74820-2322
Phone
(580) 332-0431
NPI assigned
Apr 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Authorized official

Name
Garrett Glissmeyer, DMDNPI 1568152254
Title
Provider/Owner
Phone
(580) 322-0431

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1529 Hoppe Blvd
Ada, OK 74820-2322

Mailing address

1529 Hoppe Blvd
Ada, OK 74820-2322
Phone (580) 322-0431

Other names 1

  • Ada Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1529 Hoppe Blvd
Ada, OK 74820
Phone (580) 332-0431

931 Arlington St
Ada, OK 74820
Phone (580) 332-6581

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1265052062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 HOPPE BLVD",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748202322",
            "telephone_number": "580-322-0431",
            "fax_number": "580-559-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1529 HOPPE BLVD",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748202322",
            "telephone_number": "580-332-0431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADA DENTISTRY AND BRACES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-21",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "GLISSMEYER",
        "authorized_official_first_name": "GARRETT",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "580-322-0431",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ada Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ada, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.