Milidi Rose Dickenson

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT12105 Issued in SD

Practice address

343 Quincy St Ste 103
Rapid City, SD 57701-3700

Phone

(605) 718-1190

NPI assigned

Feb 12, 2025

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1194530436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 WEST BLVD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577014078",
            "telephone_number": "717-612-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 QUINCY ST STE 103",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577013700",
            "telephone_number": "605-718-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKENSON",
        "first_name": "MILIDI",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "SD",
            "license": "MT12105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chinedu Diala, RN
• Kari Lynn Diamond
• Kenneth C Diamond, M.D.
• Rocio Isabel Diaz Sanjur, M.D.
• Stephen D Dick, MD
• Amanda N Diehl, MD
• Anthony S Diehl, MD
• Ellie V Dierkhising, IDMT
• Christopher T Dietrich, MD
• Jessica Dietz, OTR/L

• Massage Therapist in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Massage Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.