Big Island Oral Surgery LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

BIG ISLAND ORAL SURGERY LLC

Practice address

135 Puuhonu Way
Hilo, HI 96720-2069

Phone

(732) 822-7500

NPI assigned

Jul 22, 2022

Last updated

Jul 22, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Isadore Rotwein, DMDNPI 1548349202

Title

Owner/Surgeon

Phone

(732) 822-7500

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Benjamin Isadore Rotwein, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Hilo, HI
  • NPI 1548349202
  NPD Authorized official

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658448000000",
    "number": "1912632944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 PUUHONU WAY",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202069",
            "telephone_number": "732-822-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 PUUHONU WAY",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202069",
            "telephone_number": "732-822-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG ISLAND ORAL SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A",
        "authorized_official_last_name": "ROTWEIN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "ISADORE",
        "authorized_official_title_or_position": "OWNER/SURGEON",
        "authorized_official_telephone_number": "732-822-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Big Island Foot Care, Inc
• Big Island Health Clinic
• Big Island Hearing Center, LLC
• Big Island Massage Therapy LLC
• Big Island Optical, Inc
• Big Island Pain Center Inc.
• Big Island Pelvic Health LLC
• Big Island Substance Abuse Council
• Big Island Vision Center
• Big Isle Smile Inc.

• Oral and Maxillofacial Surgery (Dentist) in Hilo, HI
• Providers in Hilo, HI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.