Dallas Green, DMS, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA 9108459 Issued in FL

Practice address

3661 S Miami Ave Ste 806
Miami, FL 33133-4223

Phone

(786) 497-4000

Fax

(305) 854-0111

NPI assigned

Feb 25, 2015

Last updated

May 2, 2024By 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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

AIDS Healthcare FoundationGroup PAC ID 2668369109, 101 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82.5 of 100Reported as group

Quality

64.78

Improvement activities

40

Cost

79.23

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dallas.bauman.1@26356.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• AIDS Healthcare Foundation

  dba Ahf

  • Health Service Clinic/Center
  • North Miami Beach, FL
  • NPI 1427218874
  Medicare reassignment Care Compare group NPD (past)
• AIDS Healthcare Foundation

  dba Ahf

  • Internal Medicine Physician
  • Miami Beach, FL
  • NPI 1659998573
  NPD
• AIDS Healthcare Foundation

  dba AHF Pharmacy

  • Community/Retail Pharmacy
  • Baton Rouge, LA
  • NPI 1891525184
  NPD

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

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1609268788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 W SUNSET BLVD FL 21",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287422",
            "telephone_number": "323-860-5200",
            "fax_number": "323-467-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 S MIAMI AVE STE 806",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334223",
            "telephone_number": "786-497-4000",
            "fax_number": "305-854-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "DALLAS",
        "name_prefix": "Dr.",
        "credential": "DMS, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-25",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA 9108459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Joyce Green
• Adam S Green
• Aimee Janelle Green, APRN
• Andy Ray Green, M.D.
• Barth Armand Green, M.D.
• Damian J Green, MD
• Daniel Green, MD
• Dollie F Green, MD
• Gregory E. Green Sr., PA-C
• Izaskun Green, CRNA, DNP

• Physician Assistant in Miami, FL
• Providers in Miami, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.