Individual provider Active NPI

Thomas Lowell Fernandes, DDS

  • General Practice Dentistry
  • Post Falls, ID
National Provider Identifier
1205114162
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE60802224 Issued in WA
Practice address
313 N Spokane St
Post Falls, ID 83854-9513
Phone
(208) 773-4579
NPI assigned
Jul 26, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE60802224 WA Primary
Dentist 122300000X D4886 ID

Addresses

Primary practice location

313 N Spokane St
Post Falls, ID 83854-9513

Mailing address

313 N Spokane St
Post Falls, ID 83854-9513

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tfernandes1422421@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201216001432 WA Practitioner - Dentist 0345652343 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D8279AZMDGeneral Practice Dentistry
DE60802224WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Washington General Practice CurrentSince Jan 3, 2021 Accepting new patients
Providence Health & Services Washington CurrentSince Jan 3, 2021 Accepting new patients
Austin Babcock LLC General Practice Past Accepting new patients
Post Falls Family Dental Center P a General Practice Past Accepting new patients
Sedona Dental Arts, LLC Past Accepting new patients

Locations

1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701

105 W 8th Ave
Ste 123C
Spokane, WA 99204
Phone (509) 474-7496

Organizations & group practices 5

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": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1205114162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 N SPOKANE ST",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838549513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 N SPOKANE ST",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838549513",
            "telephone_number": "208-773-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDES",
        "first_name": "THOMAS",
        "middle_name": "LOWELL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-26",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60802224",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "D4886",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tfernandes1422421@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "105 W 8th Ave Ste 123C",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992042302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Post Falls, ID

Sources for this page

Verify at the official NPI Registry.