Willie Keith Beasley, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7175 Issued in VA

Practice address

6211 Centreville Rd
Ste 600
Centreville, VA 20121-2635

Phone

(703) 961-8808

NPI assigned

Jun 16, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1356346266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 WEST ST NW",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804416",
            "telephone_number": "703-255-0054",
            "fax_number": "703-255-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6211 CENTREVILLE RD",
            "address_2": "STE 600",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212635",
            "telephone_number": "703-961-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEASLEY",
        "first_name": "WILLIE",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "7175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michail S Baskaron
• Jennifer Michelle Bass
• Gankhuleg Batsuuri
• Bawa Dentistry PLLC
• Beam Pediatric Therapy, LLC
• Behavioral Expectations LLC
• Beijing Oriental Medicine Clinic
• Scott I Bell, M.D., PHD.
• Krystle Bellomo
• Benjamin K. Lee DMD & Associates, P.C.

• General Practice Dentistry in Centreville, VA
• Providers in Centreville, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.