Individual provider Active NPI

Benjamin Isadore Rotwein, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Hilo, HI
National Provider Identifier
1548349202
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DT-0-2898 Issued in HI
Practice address
135 Puuhonu Way Ste 100
Hilo, HI 96720-2069
Phone
(808) 649-5099
Fax
(808) 649-5104
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DIO2299400 NJ
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 6227 AL
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DT-0-2898 HI Primary

Addresses

Primary practice location

135 Puuhonu Way Ste 100
Hilo, HI 96720-2069

Mailing address

135 Puuhonu Way Ste 100
Hilo, HI 96720-2069
Phone (808) 649-5099

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230412002307 HI Order and Referring Only - Maxillofacial SurgeryPractitioner - Maxillofacial Surgery 9133431729

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DIO2299400NJMDGeneral Practice Dentistry
6227ALMDOral and Maxillofacial Surgery (Dentist)
DT-0-2898HIMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Big Island Oral Surgery LLC Oral and Maxillofacial Surgery Current Accepting new patients
King Dental Services, LLC General Practice PastSince Jul 22, 2025 Accepting new patients

Locations

135 Puuhonu Way
Ste 100
Hilo, HI 96720
Phone (808) 649-5099

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1548349202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 PUUHONU WAY STE 100",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202069",
            "telephone_number": "808-649-5099",
            "fax_number": "808-649-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 PUUHONU WAY STE 100",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202069",
            "telephone_number": "808-649-5099",
            "fax_number": "808-649-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTWEIN",
        "first_name": "BENJAMIN",
        "middle_name": "ISADORE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DIO2299400",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AL",
            "license": "6227",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "HI",
            "license": "DT-0-2898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.