Kristine Jo-Anne Schneider, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE61565957 Issued in WA

Practice address

4219 S Othello St
Seattle, WA 98118-3892

Phone

(206) 316-2351

NPI assigned

Jun 7, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kristine Jo-Anne Tibayan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1245072602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 121ST AVE NE APT 107",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980055069",
            "telephone_number": "916-662-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4219 S OTHELLO ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981183892",
            "telephone_number": "206-316-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "KRISTINE JO-ANNE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE61565957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINE JO-ANNE",
            "last_name": "TIBAYAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emily Linden Schneider, LSWAIC
• Emma Schneider, DPT
• Hilary Danae Schneider, LMP
• Jon Dawse Schneider, MD
• Kelly Schneider, RN
• Michelle Elizabeth Schneider, LMFTA
• Nichole Schneider
• Rachelle Schneider, LSWAIC
• Rose Schneider
• Samuel Tobin Schneider, MD

• General Practice Dentistry in Seattle, WA
• Providers in Seattle, 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 Jun 7, 2024; 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.