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

Dr. Dallas Green, DMS, PA-C

Individual provider Physician Assistant · NPI 1609268788

Dr. Dallas Green, DMS, PA-C is a Physician Assistant in Miami, Florida. Qualified in 2012, 14 years ago. Practices with AIDS Healthcare Foundation, a 101-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
14
Licensed in
FL
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3661 S Miami Ave Ste 806
Miami, FL 33133-4223
Phone: (786) 497-4000
Fax: (305) 854-0111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA 9108459 (FL)

Record details

NPI number1609268788
Entity typeIndividual (Type 1)
GenderMale
Credentials DMS , PA-C
Sole proprietorNo
NPI enumeratedFebruary 25, 2015
Last updated in NPPESMay 2, 2024
Certification dateMay 2, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Aids Healthcare Foundation — 101 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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