Individual provider Active NPI

Daniel James Schneller, MD

  • Pediatrics Physician
  • Tacoma, WA
National Provider Identifier
1235114992
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0027413 Issued in WA
Practice address
1924A S Cedar St
Tacoma, WA 98405-2304
Phone
(253) 627-9145
Fax
(253) 383-1556
NPI assigned
Dec 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0027413 WA Primary

Addresses

Primary practice location

1924A S Cedar St
Tacoma, WA 98405-2304

Mailing address

1924A S Cedar St
Tacoma, WA 98405-2304
Phone (253) 627-9145

Other identifiers 1

IdentifierTypeStateIssuer
1058163MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20160411002346 WA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 8628376407

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0027413WAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allenmore Children & Young Adult Clinic Pediatrics Past Accepting new patients

Organizations & group practices 1

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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1235114992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924A S CEDAR ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052304",
            "telephone_number": "253-627-9145",
            "fax_number": "253-383-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924A S CEDAR ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052304",
            "telephone_number": "253-627-9145",
            "fax_number": "253-383-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNELLER",
        "first_name": "DANIEL",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "0027413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1058163",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.