DR. CHARLES WESLEY KETCHAM D.D.S.
NPI 1174667216
Dentist - General Practice in Thousand Oaks, CA

Q: What is Charles Ketcham's NPI number?

The NPI number for Charles Ketcham is 1174667216. It was assigned to this individual provider in the NPPES registry on February 19, 2007.

Q: What is Charles Ketcham's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Charles Ketcham was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since February 19, 2007

228 LOMBARD ST STE C, THOUSAND OAKS, CA 91360(805) 496-3209(805) 496-0351 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Charles Wesley Ketcham D.d.s. NPPES

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

DR. CHARLES WESLEY KETCHAM D.D.S. (NPI 1174667216) is an individual general practice provider in Thousand Oaks, California, licensed in California (23839) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1174667216

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. CHARLES WESLEY KETCHAMCredential: D.D.S.

Location Address228 LOMBARD ST STE CThousand Oaks, CA 91360-8202

Mailing Address228 Lombard St Ste CThousand Oaks, CA 91360-8202 · (805) 496-3209 · Fax (805) 496-0351

Phone(805) 496-3209

Fax(805) 496-0351

Sole ProprietorYes

Enumeration DateFebruary 19, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1174667216 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 · 23839

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.

228 LOMBARD ST STE C, Thousand Oaks, CA 91360

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Other Providers at the Same Location NPPES

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

DR. RODNEY PAUL BURTON DDS

Dentist

228 LOMBARD ST STE C
THOUSAND OAKS, CA 91360

Ventura County (805) 494-1500

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 Charles Ketcham's NPI number?

The NPI number for Charles Ketcham is 1174667216. It was assigned to this individual provider in the NPPES registry on February 19, 2007.

Where is Charles Ketcham located?

Charles Ketcham practices at 228 Lombard St Ste C, Thousand Oaks, CA 91360. The listed phone number is (805) 496-3209.

What is Charles Ketcham's specialty?

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

When was this NPI record last updated?

The NPPES record for Charles Ketcham was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.