Lupita Fernandez, D.M.D,

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00007379 Issued in WA

Practice address

1711 E Division St
Mount Vernon, WA 98274-4501

Phone

(360) 424-7089

NPI assigned

Aug 8, 2006

Last updated

Feb 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Aug 26, 2015 through Aug 26, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lupita Fernandez, DMD, PS

  • Dentist
  • Mount Vernon, WA
  • NPI 1598111486
  NPD (past) Authorized official
• Larreau and Thomas, PLLC

  dba Seven Lakes Dental

  • Dentist
  • Marysville, WA
  • NPI 1043645963
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1083624480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 E DIVISION ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744501",
            "telephone_number": "360-424-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 E DIVISION ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744501",
            "telephone_number": "360-424-7089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "LUPITA",
        "name_prefix": "Dr.",
        "credential": "D.M.D,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00007379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL DENTIST",
            "identifier": "DE00007379",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENCE",
            "identifier": "1854",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judy E Farrar, LMHC
• Waleed Faruqi, DPM
• Bernadine Feist, RPH BCPS
• Jeffrey E. Feld, MD
• Dmitry P. Feldman, DO
• Karina Marie Figueroa
• Georgie Fill
• Elizabeth Findley, LICSW
• Adriana Maria Fischetti
• Corey Adair Fish, M.D.

• General Practice Dentistry in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.