Active NPI
Dana Martin, CNM
- Advanced Practice Midwife
- Roseburg, OR
National Provider Identifier
1124907472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 10060009
- Practice address
- 1937 W Harvard Ave
Roseburg, OR 97471-2720 - Phone
- (541) 677-7200
- Fax
- (541) 229-3309
- NPI assigned
- Aug 30, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 10060009 | OR | Primary |
| Maternal Newborn Registered Nurse | 163WM0102X | 202008825RN | OR |
Addresses
Primary practice location
1937 W Harvard Ave
Roseburg, OR 97471-2720
Mailing address
2570 NW Edenbower Blvd Ste 100
Roseburg, OR 97471-6214
Phone (541) 677-7200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2570 NW Edenbower Blvd
Suite 100
Roseburg, OR 97471-6214
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202008825RN | OR | MD | Maternal Newborn Registered Nurse |
| 10060009 | OR | MD | Midwife |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Roseburg, OR
- NPI 1134436637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786060800000",
"number": "1124907472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2570 NW EDENBOWER BLVD STE 100",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974716214",
"telephone_number": "541-677-7200",
"fax_number": "541-229-3309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1937 W HARVARD AVE",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974712720",
"telephone_number": "541-677-7200",
"fax_number": "541-229-3309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "DANA",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-30",
"last_updated": "2026-08-07",
"certification_date": "2026-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "OR",
"license": "10060009",
"primary": true
},
{
"code": "163WM0102X",
"taxonomy_group": "",
"desc": "Registered Nurse, Maternal Newborn",
"state": "OR",
"license": "202008825RN",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseburg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.