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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Homer Gary Ketcherside, D.D.S.,M.S.

Orthodontics and Dentofacial Orthopedics Dentistry in Corona, CA · enumerated 2012 · practices at All Wellness Now.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1043570658

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Registry record

Entity type Individual (Type 1)
Name Homer Gary Ketcherside
Credential D.D.S.,M.S.
Sex Male
Practice address Corona, CA, 92879
Phone (951) 737-3800
Fax (951) 737-3937
Enumeration date May 17, 2012
Last updated in NPPES Jul 22, 2013

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

1223X0400X Orthodontics and Dentofacial Orthopedics Dentistry Dental Providers · License 28872 (CA) Primary
DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Homer Ketcherside's NPI record?
Cross-check NPI 1043570658 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1043570658 active?
Yes, as of the latest NPPES snapshot, NPI 1043570658 is active (record last updated 2013-07-22).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-07-22.