Individual provider Active NPI

Gina C Mancini, DMD

  • General Practice Dentistry
  • Swansboro, NC
National Provider Identifier
1912017013
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7152 Issued in NC
Practice address
718 A West Corbett Avenue
Swansboro, NC 28584
Phone
(910) 326-3611
Fax
(910) 326-1122
NPI assigned
Aug 30, 2006
Last updated
Oct 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7152 NC Primary

Addresses

Primary practice location

718 A West Corbett Avenue
Swansboro, NC 28584

Mailing address

3685 Henderson Dr
Jacksonville, NC 28546
Phone (910) 347-9100

Other identifiers 3

IdentifierTypeStateIssuer
0269COtherNCBCBS
899759MedicaidNC
3224OtherNCDELTA

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

LicenseStateTypeSpecialty
7152NCMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gina Mancini DMD PLLC General Practice CurrentSince Nov 8, 2025 Accepting new patients
Gina Collins Mancini, DMD CurrentSince Nov 8, 2025 Accepting new patients
Anderson and Slack and Associates General Practice Past Accepting new patients

Locations

3685 Henderson Dr
Jacksonville, NC 28546
Phone (910) 347-9100

Organizations & group practices 3

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1912017013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3685 HENDERSON DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "28546",
            "telephone_number": "910-347-9100",
            "fax_number": "910-326-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 A WEST CORBETT AVENUE",
            "city": "SWANSBORO",
            "state": "NC",
            "postal_code": "28584",
            "telephone_number": "910-326-3611",
            "fax_number": "910-326-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCINI",
        "first_name": "GINA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0269C",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "899759",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA",
            "identifier": "3224",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Swansboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; 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.