Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Casey Dallas, PA

Individual provider Physician Assistant · NPI 1518395938

Casey Dallas, PA is a Physician Assistant in Phoenix, Arizona. Qualified in 2013, 13 years ago. Practices with Denova Collaborative Health, LLC, a 143-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
13
Licensed in
AZ
In the registry since
2013
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

750 E Thunderbird Rd Ste 1-3
Phoenix, AZ 85022-5306
Phone: (602) 230-7373
Fax: (602) 218-6383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3815 E Bell Rd, Phoenix, AZ 85032-2122 — (602) 942-3750

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5564 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 5564 (AZ)

Record details

NPI number1518395938
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 22, 2013
Last updated in NPPESAugust 16, 2023
Certification dateAugust 16, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Denova Collaborative Health, Llc — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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