Kevin John Mancini, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

7006 Issued in NC

Practice address

3840 Henderson Dr
Jacksonville, NC 28546

Phone

(910) 270-3334

Fax

(800) 705-1882

NPI assigned

Sep 22, 2006

Last updated

Jan 22, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kevin Mancini DMD PLLC

  dba Mancini Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hampstead, NC
  • NPI 1891650875
  NPD (past) Authorized official
• Fischer, Richards & Walker, PA

  dba Coastal Carolina Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Morehead City, NC
  • NPI 1972940476
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1477652402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 N HAMPSTEAD VLG",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "28443",
            "telephone_number": "910-270-3334",
            "fax_number": "800-705-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 HENDERSON DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "28546",
            "telephone_number": "910-270-3334",
            "fax_number": "800-705-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCINI",
        "first_name": "KEVIN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NC",
            "license": "7006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NC",
            "identifier": "90171",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8990171",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elaine Ann Mallette, BS
• Shayne Malone
• Holly J Maloney, NP
• Christina Yvonne Malu, LCSW, LCAS-A
• Pamela Malu
• Vivian Manduca-Marquez, A.P., D.O.M.
• Janelle Z. Mann, PT, PCS
• Justin Garofolo Mannick, IDC
• Amanda Ashley Manning, LCSW-A
• Harmony Manning

• Orthodontics and Dentofacial Orthopedics Dentistry in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.