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YACOUB A PROFESSIONAL DENTAL CORPORATION
NPI 1740460187
Dentist - General Practice in El Cajon, CA

Active since November 13, 2007
1008 E WASHINGTON AVE, EL CAJON, CA 92020(619) 334-1468(619) 328-4035 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Yacoub A Professional Dental Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YACOUB A PROFESSIONAL DENTAL CORPORATION (NPI 1740460187), doing business as Washington Dentistry, is a healthcare organization registered as a general practice in El Cajon, California and active in the NPI registry since November 2007. The organization lists Khalid Marqus Yacoub, Owner, as its authorized official.

NPPES Registry Identity

NPI1740460187
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameYACOUB A PROFESSIONAL DENTAL CORPORATION
Location Address1008 E WASHINGTON AVEEl Cajon, CA 92020
Mailing Address1008 E Washington AveEl Cajon, CA 92020-6614 · (619) 334-1468 · Fax (619) 328-4035
Phone(619) 334-1468
Fax(619) 328-4035
Organization SubpartNo
Authorized OfficialKhalid Marqus YacoubOwner · (619) 334-1468
Enumeration DateNovember 13, 2007
Last NPPES UpdateOctober 2, 2025
NPPES CertifiedOctober 2, 2025
✔ NPI 1740460187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 43510
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1008 E WASHINGTON AVE, El Cajon, CA 92020
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Other Names 1

Doing Business AsWashington Dentistry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yacoub A Professional Dental Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Yacoub A Professional Dental Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Khalid Yacoub, DDS
Dentist
NPI 1114927100
1008 E WASHINGTON AVE
El Cajon, CA 92020
(619) 334-1468
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Yacoub A Professional Dental Corporation's NPI number?

The NPI number for Yacoub A Professional Dental Corporation is 1740460187. It was assigned to this organization in the NPPES registry on November 13, 2007. The provider is doing business as Washington Dentistry.

Where is Yacoub A Professional Dental Corporation located?

Yacoub A Professional Dental Corporation is located at 1008 E Washington Ave, El Cajon, CA 92020. The listed phone number is (619) 334-1468.

What is Yacoub A Professional Dental Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Yacoub A Professional Dental Corporation enrolled in Medicare?

Yes. Yacoub A Professional Dental Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Yacoub A Professional Dental Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dentist) reassigns their Medicare billing to Yacoub A Professional Dental Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Yacoub A Professional Dental Corporation accept?

Health plans from UnitedHealthcare list Yacoub A Professional Dental Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Yacoub A Professional Dental Corporation was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.