Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. DARYL ALVAN FEDAK
NPI 1033117288
Dentist - General Practice in Springfield, OR

Active since July 12, 2005
5892 MAIN ST, STE 1, SPRINGFIELD, OR 97478(541) 741-7800(541) 741-7888 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Daryl Alvan Fedak NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DARYL ALVAN FEDAK (NPI 1033117288) is an individual general practice provider in Springfield, Oregon, licensed in Oregon (D7742) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1033117288
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMR. DARYL ALVAN FEDAK
Location Address5892 MAIN ST, STE 1Springfield, OR 97478-5496
Mailing Address5892 Main St, Ste 1Springfield, OR 97478-5496 · (541) 741-7800 · Fax (541) 741-7888
Fax(541) 741-7888
Sole ProprietorNo
Enumeration DateJuly 12, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1033117288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in OR · D7742
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
5892 MAIN ST, Springfield, OR 97478

Other Names 1

Professional Name (2)Dr. Daryl Alvan Fedak

Other Identifiers 2

Other7696119Aetna
Other1407366United Concordia

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Eyewear Supplier
5892 MAIN ST, STE 3
SPRINGFIELD, OR 97478

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daryl Fedak's NPI number?

The NPI number for Daryl Fedak is 1033117288. It was assigned to this individual provider in the NPPES registry on July 12, 2005. The provider is also known as Dr. Daryl Alvan Fedak.

Where is Daryl Fedak located?

Daryl Fedak practices at 5892 Main St Ste 1, Springfield, OR 97478. The listed phone number is (541) 741-7800.

What is Daryl Fedak's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Daryl Fedak accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BridgeSpan Health Company and PacificSource Health Plans and 1 other insurer list Daryl Fedak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Daryl Fedak was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.