HOMER GARY KETCHERSIDE D.D.S.,M.S.
NPI 1043570658
Dentist - Orthodontics and Dentofacial Orthopedics in Corona, CA
About Homer Gary Ketcherside D.d.s.,m.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOMER GARY KETCHERSIDE D.D.S.,M.S. (NPI 1043570658) is an individual orthodontics and dentofacial orthopedics provider in Corona, California, licensed in California (28872) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted 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)
Homer Gary Ketcherside D.d.s.,m.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92879 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CORONA, CA 92879
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 Homer Ketcherside's NPI number?
The NPI number for Homer Ketcherside is 1043570658. It was assigned to this individual provider in the NPPES registry on May 17, 2012.
Where is Homer Ketcherside located?
Homer Ketcherside practices at 720 Magnolia Ave Suite A1, Corona, CA 92879. The listed phone number is (951) 737-3800.
What is Homer Ketcherside's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.
Is Homer Ketcherside enrolled in Medicare?
Yes. Homer Ketcherside is registered in the Medicare PECOS enrollment system.
What insurance does Homer Ketcherside accept?
Health plans from Anthem Blue Cross and Blue Shield, BEST Life, 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 Homer Ketcherside 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 Homer Ketcherside was last updated on July 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.