Active NPI
Garrett Glissmeyer, DMD
- General Practice Dentistry
- Ada, OK
National Provider Identifier
1568152254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7755
- Practice address
- 931 Arlington St Ste 3
Ada, OK 74820-4025 - Phone
- (580) 332-0431
- NPI assigned
- May 8, 2023
- Last updated
- May 18, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7755 | OK | Primary |
Addresses
Primary practice location
931 Arlington St Ste 3
Ada, OK 74820-4025
Mailing address
931 Arlington St Ste 3
Ada, OK 74820-4025
Phone (580) 332-0431
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://adaokdental.com/ | Direct | Ada Dentistry and Braces |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7755 | OK | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ada Dentistry and Braces | Current | Accepting new patients | |
| Bruce a Hall DDS PC | General Practice | Past | Accepting new patients |
Locations
931 Arlington St
Ste 3
Ada, OK 74820
Phone (580) 332-0431
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684368000000",
"number": "1568152254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "931 ARLINGTON ST STE 3",
"city": "ADA",
"state": "OK",
"postal_code": "748204025",
"telephone_number": "580-332-0431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "931 ARLINGTON ST STE 3",
"city": "ADA",
"state": "OK",
"postal_code": "748204025",
"telephone_number": "580-332-0431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLISSMEYER",
"first_name": "GARRETT",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-05-08",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "7755",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://adaokdental.com/",
"affiliation": "Y",
"endpointDescription": "Website",
"affiliationName": "Ada Dentistry and Braces",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "931 Arlington St Ste 3",
"city": "Ada",
"state": "OK",
"country_code": "US",
"postal_code": "748204025",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}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 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.