Active NPI
Trevor Donald Hartwell, D.D.S.
- Dentist
- Kamuela, HI
National Provider Identifier
1154559268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DT2432
- Practice address
- 64-5191 Kinohou St
Kamuela, HI 96743-7392 - Phone
- (808) 443-2636
- Fax
- (808) 769-5023
- NPI assigned
- Jun 26, 2009
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DT2432 | HI | Primary |
Addresses
Primary practice location
64-5191 Kinohou St
Kamuela, HI 96743-7392
Mailing address
64-5191 Kinohou St
Kamuela, HI 96743-7392
Phone (808) 443-2636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150730013022 | HI | Order and Referring Only - Dentist | 6002120318 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT2432 | HI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trevor Hartwell DDS LLC | Current | Accepting new patients |
Locations
64-5191 Kinohou St
Ste C
Kamuela, HI 96743
64-5191 Kinohou St
Kamuela, HI 96743
Phone (808) 885-7144
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 and National Provider Directory roles.
-
- General Practice Dentistry
- Kamuela, HI
- NPI 1447035027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693353600000",
"number": "1154559268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64-5191 KINOHOU ST",
"city": "KAMUELA",
"state": "HI",
"postal_code": "967437392",
"telephone_number": "808-443-2636",
"fax_number": "808-769-5023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64-5191 KINOHOU ST",
"city": "KAMUELA",
"state": "HI",
"postal_code": "967437392",
"telephone_number": "808-443-2636",
"fax_number": "808-769-5023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTWELL",
"first_name": "TREVOR",
"middle_name": "DONALD",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-26",
"last_updated": "2023-08-30",
"certification_date": "2023-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "HI",
"license": "DT2432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kamuela, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.