Individual provider Active NPI

Trevor Donald Hartwell, D.D.S.

  • Dentist
  • Kamuela, HI
National Provider Identifier
1154559268
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DT2432 Issued in HI
Practice address
64-705 Waikelehua PL Ste 3
Kamuela, HI 96743-8365
Phone
(808) 229-0229
Fax
(808) 769-5023
NPI assigned
Jun 26, 2009
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DT2432 HI Primary

Addresses

Primary practice location

64-705 Waikelehua PL Ste 3
Kamuela, HI 96743-8365

Mailing address

67-1185 Mamalahoa Hwy Unit D104
Kamuela, HI 96743-8412
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150730013022 HI Order and Referring Only - DentistPractitioner - Dentist 6002120318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DT2432HIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Trevor Hartwell DDS LLC CurrentSince Jan 1, 2016 Accepting new patients

Locations

64-5191 Kinohou St
Kamuela, HI 96743
Phone (808) 443-2636

64-5191 Kinohou St
Ste C
Kamuela, HI 96743

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.

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": "1791244800000",
    "number": "1154559268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67-1185 MAMALAHOA HWY UNIT D104",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438412",
            "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": "64-705 WAIKELEHUA PL STE 3",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438365",
            "telephone_number": "808-229-0229",
            "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": "2026-10-06",
        "certification_date": "2026-10-06",
        "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

Verify at the official NPI Registry.