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ABDELRAHIM ELJACK
NPI 1780090357
Dentist in Grandview, WA

Active since July 03, 2014PECOS Enrolled
1000 WALLACE WAY, GRANDVIEW, WA 98930(509) 882-3444(509) 882-1097 Get Directions Write a Review

NPPES record last updated: March 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2021, Apr 23, 2020, Oct 2, 2018 and 1 more (4 updates tracked since 2018).

About Abdelrahim Eljack NPPES

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

ABDELRAHIM ELJACK (NPI 1780090357) is an individual dentist in Grandview, Washington, licensed in Washington (DE60882177) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780090357
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameABDELRAHIM ELJACK
Location Address1000 WALLACE WAYGrandview, WA 98930-8805
Mailing Address1000 Wallace WayGrandview, WA 98930-8805 · (509) 882-3444 · Fax (509) 882-1097
Phone(509) 882-3444
Fax(509) 882-1097
Sole ProprietorNo
Enumeration DateJuly 3, 2014
Last NPPES UpdateMarch 17, 20214 updates tracked since enumeration
NPPES CertifiedMarch 17, 2021
✔ NPI 1780090357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WA · DE60882177
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1000 WALLACE WAY, Grandview, WA 98930
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abdelrahim Eljack is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98930 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IVAN CRUSE MD
Student in an Organized Health Care Education/Training Program
1000 WALLACE WAY
GRANDVIEW, WA 98930
Yakima County (509) 882-3444
MRS. MARCIA KARIN WAGNER M.S., R.D., C.D.
Dietitian, Registered
1000 WALLACE WAY
GRANDVIEW, WA 98930
Yakima County (509) 882-4707
DR. LISA NGUYEN DO
Student in an Organized Health Care Education/Training Program
1000 WALLACE WAY
GRANDVIEW, WA 98930
Yakima County (509) 788-1702
SHEHLA FARHAN HASHMI DENTIST
Dentist
1000 WALLACE WAY
GRANDVIEW, WA 98930
Yakima County (509) 882-3444
BLAKE J BOND M.D.
Family Medicine
1000 WALLACE WAY
GRANDVIEW, WA 98930
Yakima County (509) 882-3444
PAIGE BRIGGS RD
Dietitian, Registered
1000 WALLACE WAY
GRANDVIEW, WA 98930
Yakima County (509) 882-3444
YAKIMA VALLEY FARM WORKERS CLINIC
Pharmacy (Community/Retail Pharmacy)
1000 WALLACE WAY
GRANDVIEW, WA 98930
Yakima County (509) 882-3977
EDITH ISBEL NORIEGA CORNEJO
Counselor
1000 WALLACE WAY
GRANDVIEW, WA 98930
Yakima County (509) 882-8918

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 Abdelrahim Eljack's NPI number?

The NPI number for Abdelrahim Eljack is 1780090357. It was assigned to this individual provider in the NPPES registry on July 3, 2014.

Where is Abdelrahim Eljack located?

Abdelrahim Eljack practices at 1000 Wallace Way, Grandview, WA 98930. The listed phone number is (509) 882-3444.

What is Abdelrahim Eljack's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Abdelrahim Eljack enrolled in Medicare?

Yes. Abdelrahim Eljack is registered in the Medicare PECOS enrollment system.

What insurance does Abdelrahim Eljack accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Abdelrahim Eljack 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 Abdelrahim Eljack was last updated on March 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.