Active NPI
Courtney T Mietz, DMD MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Lincoln, CA
National Provider Identifier
1306630751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 112725
- Practice address
- 2295 Fieldstone Dr Ste 260
Lincoln, CA 95648-8810 - Phone
- (916) 408-8688
- NPI assigned
- Apr 8, 2025
- Last updated
- Mar 3, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 112725 | CA | Primary |
Addresses
Primary practice location
2295 Fieldstone Dr Ste 260
Lincoln, CA 95648-8810
Mailing address
2295 Fieldstone Dr Ste 260
Lincoln, CA 95648-8810
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112725 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| George D Bankhead DDS Ms PC | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Bankhead & Firth Orthodontics
- Orthodontics and Dentofacial Orthopedics Dentistry
- Sunset Hills, MO
- NPI 1447439716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772496000000",
"number": "1306630751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2295 FIELDSTONE DR STE 260",
"city": "LINCOLN",
"state": "CA",
"postal_code": "956488810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2295 FIELDSTONE DR STE 260",
"city": "LINCOLN",
"state": "CA",
"postal_code": "956488810",
"telephone_number": "916-408-8688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIETZ",
"first_name": "COURTNEY",
"middle_name": "T",
"credential": "DMD MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-08",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "112725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.