Krishna Dayalan

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101000786 Issued in MI

Practice address

1400 Poplar St
Hancock, MI 49930-1121

Phone

(989) 670-2162

NPI assigned

Jun 11, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Up Rehab Services LLC

  • Physical Therapist
  • Kingsford, MI
  • NPI 1821148529

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1124860176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 W WASHINGTON ST STE 500",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 POPLAR ST",
            "city": "HANCOCK",
            "state": "MI",
            "postal_code": "499301121",
            "telephone_number": "989-670-2162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAYALAN",
        "first_name": "KRISHNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101000786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Houghton
• County of Houghton Dba Western Up Health Department
• County of Houghton Dba Western Upper Peninsula Health Department
• Cypress Healthcare, LLC
• Amy Datto, RDH
• Devyn Dempsey, DO
• Jenny Dice
• Discover Chiropractic U.P., PLLC
• DLP Marquette Physician Practices Inc
• Kimberly Anne Dovin, M.D.

• All providers in Hancock, MI
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.