Individual provider Active NPI

Betsi K. Moore-Keasler, RDH

  • Dental Hygienist
  • Virginia Beach, VA
National Provider Identifier
1457654436
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
0402003811 Issued in VA
Practice address
1035 Nider Blvd
Virginia Beach, VA 23459-8701
Phone
(757) 953-8334
NPI assigned
Dec 13, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 0402003811 VA Primary

Addresses

Primary practice location

1035 Nider Blvd
Virginia Beach, VA 23459-8701

Mailing address

1647 Admiral Taussig Blvd
Norfolk, VA 23511
Phone (757) 953-1897

Other practice location 1

1647 Admiral Taussig Blvd
Norfolk, VA 23511
Phone (757) 953-1897

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address BETSY.K.KEASLER.CTR@HEALTH.MIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0402003811VAMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1457654436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1647 ADMIRAL TAUSSIG BLVD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23511",
            "telephone_number": "757-953-1897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 NIDER BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234598701",
            "telephone_number": "757-953-8334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1647 ADMIRAL TAUSSIG BLVD",
            "address_purpose": "LOCATION",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23511",
            "country_code": "US",
            "telephone_number": "757-953-1897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE-KEASLER",
        "first_name": "BETSI",
        "middle_name": "K.",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-13",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "VA",
            "license": "0402003811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BETSY.K.KEASLER.CTR@HEALTH.MIL",
            "affiliation": "N",
            "address_1": "1035 Nider Blvd",
            "city": "Virginia Beach",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234598701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.