Daryl Alvan Fedak

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D7742 Issued in OR

Practice address

5892 Main St
Ste 1
Springfield, OR 97478-5496

Phone

(541) 741-7800

Fax

(541) 741-7888

NPI assigned

Jul 12, 2005

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

Other names 1

• Dr. Daryl Alvan Fedak Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1033117288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5892 MAIN ST",
            "address_2": "STE 1",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974785496",
            "telephone_number": "541-741-7800",
            "fax_number": "541-741-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5892 MAIN ST",
            "address_2": "STE 1",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974785496",
            "telephone_number": "541-741-7800",
            "fax_number": "541-741-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDAK",
        "first_name": "DARYL",
        "middle_name": "ALVAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7696119",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1407366",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARYL",
            "last_name": "FEDAK",
            "middle_name": "ALVAN",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Daniel Patrick Farley, M.A.
• Brittney Farrior, PA-C
• Brittany J Farro, PA-C
• Christy Faucher
• Jodi Le Feagaimaalii, QMHA-I, CADC-R, THW
• Lior Feldman, MD
• Jacqueline Maria Fennerty, DPM
• Genoa Goetz Ferguson, M.D.
• Leah Fertig
• Annika Fiedler

• General Practice Dentistry in Springfield, OR
• Providers in Springfield, OR by specialty
• General Practice Dentistry 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.