Homer Ketcherside, D.D.S.,M.S.
NPI 1043570658 · Orthodontics and Dentofacial Orthopedics Dentistry · Corona, CA
Enrolled with Medicare as Order and Referring Only - Other (physician) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Homer Ketcherside, D.D.S.,M.S. is a Orthodontics and Dentofacial Orthopedics Dentistry provider in Corona, CA (NPI 1043570658).
Provider details
- NPI number
- 1043570658
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- D.D.S.,M.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 28872 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
14 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$92 across 3 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-05-17
- Last updated
- 2013-07-22
Frequently asked questions
- What is Homer Ketcherside's NPI number?
- Homer Ketcherside's National Provider Identifier (NPI) is 1043570658, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Homer Ketcherside's specialty?
- Homer Ketcherside is listed in the NPPES registry with a primary specialty of Orthodontics and Dentofacial Orthopedics Dentistry (Dental Providers).
- Where is Homer Ketcherside located?
- Homer Ketcherside's practice location on file with NPPES is 720 Magnolia Ave, Corona, CA 92879-3119.
- What is Homer Ketcherside's phone number?
- The practice phone number listed in the NPPES registry for Homer Ketcherside is (951) 737-3800.
- Does Homer Ketcherside accept Medicare?
- Homer Ketcherside is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Homer Ketcherside's NPI active?
- Yes — Homer Ketcherside's NPI (1043570658) is active in the NPPES registry as of the last update on 2013-07-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.