Gary B. Dandy, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD16240 Issued in OR

Practice address

2570 NW Edenbower Blvd
Suite 100
Roseburg, OR 97470-6220

Phone

(541) 957-1111

Fax

(541) 957-5705

NPI assigned

Feb 8, 2006

Last updated

Jul 13, 2026By 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1334/brand/1/csg/42/fhir/r4

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.

• Evergreen Family Medicine, PC

  • Family Medicine Physician
  • Roseburg, OR
  • NPI 1417929050
  NPD (past)
• Umpqua Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Glide, OR
  • NPI 1609065010
  NPD (past)
• Umpqua Community Health Center, Inc.

  dba Aviva Health

  • Federally Qualified Health Center (FQHC)
  • Roseburg, OR
  • NPI 1720803810
  NPD (past)

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1184697401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1247",
            "address_2": "2570 NW EDENBOWER BLVD SUITE 100",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974700310",
            "telephone_number": "541-957-1111",
            "fax_number": "541-957-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 NW EDENBOWER BLVD",
            "address_2": "SUITE 100",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974706220",
            "telephone_number": "541-957-1111",
            "fax_number": "541-957-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANDY",
        "first_name": "GARY",
        "middle_name": "B.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD16240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "059969",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PACSOURCE",
            "identifier": "J406438",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Curtiss, ANP-BC
• Philip Michael Cusack, OTR/L
• Larisa Ivana Czernowski
• Phillip R Dahl, L.D
• Tyson Jarad Dahl, PA-C
• Daniel J. Olson DDS PHD PC
• Carol Lynn Daniels, RN
• Debra Ann Daniels, P.A.
• Robert Louis Dannenhoffer, MD
• Haley Rae Danskey Huse, MSN, APRN-FNP-C

• Family Medicine Physician in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.