IndividualActive
Charles Ketcham, D.D.S.
NPI 1174667216 · General Practice Dentistry · Thousand Oaks, CA
Charles Ketcham, D.D.S. is a General Practice Dentistry provider in Thousand Oaks, CA (NPI 1174667216).
Provider details
- NPI number
- 1174667216
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 23839 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
228 Lombard St Ste C
Thousand Oaks, CA 91360-8202
Phone: (805) 496-3209
Fax: (805) 496-0351
Street-level locationGet directions
Mailing address
228 Lombard St Ste C
Thousand Oaks, CA 91360-8202
Registry dates
- Enumerated
- 2007-02-19
- Last updated
- 2007-07-08
Frequently asked questions
- What is Charles Ketcham's NPI number?
- Charles Ketcham's National Provider Identifier (NPI) is 1174667216, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Charles Ketcham's specialty?
- Charles Ketcham is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Charles Ketcham located?
- Charles Ketcham's practice location on file with NPPES is 228 Lombard St Ste C, Thousand Oaks, CA 91360-8202.
- What is Charles Ketcham's phone number?
- The practice phone number listed in the NPPES registry for Charles Ketcham is (805) 496-3209.
- Is Charles Ketcham's NPI active?
- Yes — Charles Ketcham's NPI (1174667216) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.