DR. KEVIN JOHN MANCINI (NPI# 1477652402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477652402 |
| Entity Type | Individual |
| Full Name | DR. KEVIN JOHN MANCINI |
| Credential | DMD |
| Practice Address |
224 Hampstead Vlg Hampstead NC 28443-8254 |
| Practice Telephone | 9102703334 |
| Practice Fax Number | 8007051882 |
| Mailing Telephone | 9102703334 |
| Mailing Fax Number | 8007051882 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2012-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
7006 | NC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE CROSS BLUE SHIELD NC | 90171 | 01 |
| NC | 8990171 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174903801 | Kevin Mancini | Counselor | 707 Broadway Blvd Ne, Ste 103, Albuquerque, NM 87102-2360 | 2015-06-08 |
| Street Address |
224 HAMPSTEAD VLG |
| City | HAMPSTEAD |
| State | NC |
| Zip Code | 28443-8254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780284745 | Jenean Lacorte | Specialist/Technologist, Other | 18676 Hwy 17 N., Suite 11, Hampstead, NC 28443 | 2020-10-29 |
| 1457966947 | Lauren Paige Nester | Registered Nurse | 113 Pagoda Ct., Hampstead, NC 28443 | 2020-09-10 |
| 1326503657 | Village Pharmacy of Hampstead Inc | Pharmacy | 14057 Hwy 17, Suite 100, Hampstead, NC 28443 | 2019-01-31 |
| 1154896280 | Arbor Landing At Hampstead LLC | Custodial Care Facility | 1397 Us Hwy 17 North, Hampstead, NC 28443 | 2018-10-04 |
| 1134580178 | William Boone | Specialist/Technologist | 106 Katydid Ct, Hampstead, NC 28443 | 2016-03-18 |
| 1679959837 | New River Wellness, Pa | Social Worker | 15444 Us Highway 17 North, Bldg 233, Hampstead, NC 28443 | 2015-08-10 |
| 1932509791 | Laura Behr Jarosz | Physician Assistant | 114 Osier Dr, Hampstead, NC 28443 | 2014-08-29 |
| 1053737064 | Katelyn Braswell | Student in an Organized Health Care Education/Training Program | 309 Knollwood Dr, Hampstead, NC 28443 | 2014-03-14 |
| 1598101826 | Johnson Drug Hampstead Inc. | Pharmacy | 17230 Us Hwy 17n, Suite 222, Hampstead, NC 28443 | 2013-05-14 |
| 1053658302 | James William Boyer | Specialist/Technologist, Other | 1768 Hwy 210, Hampstead, NC 28443 | 2013-01-07 |
| Find all providers in zip 28443 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841406501 | James M Holland | Dentist | 35 Gigante Dr, Hampstead, NH 03841-2310 | 2007-05-16 |
| 1629017223 | Michael Louis Cherubini | Dentist | 17550 Us Highway 17 N, Hampstead, NC 28443-3316 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487251344 | Zammitti Gidaly Abrams Cohen & Associates V PC | Dentist | 13527 Steelecroft Pkwy Ste C, Charlotte, NC 28278-7887 | 2020-10-05 |
| 1578177952 | Mcmillian Dds and Morrone Dmd, Pa | Dentist | 2301 Battleground Ave, Greensboro, NC 27408-5422 | 2020-09-03 |
| 1487263125 | T Richard Ziehmer Dds Msd Pllc | Dentist | 4016 Battleground Ave Ste H, Greensboro, NC 27410-9800 | 2020-07-29 |
| 1952929986 | Keri Beth Kenning | Dentist | 1915 Hendersonville Rd, Asheville, NC 28803-2104 | 2020-07-07 |
| 1992323901 | M. Avey & Associates Nc PC V | Dentist | 1507 Westover Ter Ste A, Greensboro, NC 27408-7121 | 2020-07-07 |
| 1669037834 | Drs Shrager and Reimels Pllc | Dentist | 8331 Bandford Way Ste 105, Raleigh, NC 27615-2765 | 2019-05-03 |
| 1487119194 | Abdelbaky, Arbon & Boes, Pllc | Dentist | 1460 Kelly Road, Suite 201, Apex, NC 27502 | 2019-02-06 |
| 1225507320 | Shane Markey Dds Ms Pllc | Dentist | 8412 New Town Rd Ste A, Waxhaw, NC 28173 | 2018-11-19 |
| 1265907612 | Roberts Hoina & Associates Pllc | Dentist | 5069 University Pkwy Ste 11, Winston Salem, NC 27106-6083 | 2018-10-11 |
| 1710461520 | A M Jackson & Associates Dds Ms Pllc | Dentist | 8430 University Exec Park Dr Ste 605, Charlotte, NC 28262-1353 | 2018-09-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.