Yacoub a Professional Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

43510 Issued in CA

Legal business name

YACOUB A PROFESSIONAL DENTAL CORPORATION

Doing business as

Washington Dentistry

Practice address

1008 E Washington Ave
El Cajon, CA 92020

Phone

(619) 334-1468

Fax

(619) 328-4035

NPI assigned

Nov 13, 2007

Organization subpart

No

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

Authorized official

Name

Khalid Marqus Yacoub, DDSNPI 1114927100

Title

Owner

Phone

(619) 334-1468

Specialties & licenses 1

Addresses

Other names 1

• Washington Dentistry Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Khalid M Yacoub, DDS

  • General Practice Dentistry
  • El Cajon, CA
  • NPI 1114927100
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759363200000",
    "number": "1740460187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 E WASHINGTON AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920206614",
            "telephone_number": "619-334-1468",
            "fax_number": "619-328-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 E WASHINGTON AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "92020",
            "telephone_number": "619-334-1468",
            "fax_number": "619-328-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YACOUB A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "YACOUB",
        "authorized_official_first_name": "KHALID",
        "authorized_official_middle_name": "MARQUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-334-1468",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexis Renae Wyrick
• Charles Sherod Xavier
• Xfrogger Ventures
• Lilia Xibille, D.D.S
• Xo DME LLC
• Khalid M Yacoub, DDS
• Yahya and Shaikhli Dental Partnership
• Mariam Yalda
• Nash Yalda
• Samira Georges Yalda, BH CASE MANAGER

• General Practice Dentistry in El Cajon, CA
• Providers in El Cajon, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.