Active NPI
Thomas Lowell Fernandes, DDS
- General Practice Dentistry
- Post Falls, ID
National Provider Identifier
1205114162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE60802224
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D8279 | AZ | MD | General Practice Dentistry |
| DE60802224 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Washington | General Practice | Current | Accepting new patients |
| Providence Health & Services Washington | Current | 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.
-
- Pulmonary Disease Physician
- Spokane, WA
- NPI 1194099390
General Practice
-
- Family Medicine Physician
- Colville, WA
- NPI 1083968879
-
- General Practice Dentistry
- Post Falls, ID
- NPI 1841395589
-
- General Practice Dentistry
- Sedona, AZ
- NPI 1033509575
-
- Dental Clinic/Center
- Sedona, AZ
- NPI 1710124003
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.