Ellie V Dierkhising, IDMT

Primary specialty

Independent Duty Medical TechniciansTaxonomy code 1710I1003X

Practice address

4526 Candlewood PL Apt 201
Rapid City, SD 57702-0196

Phone

(218) 820-8674

NPI assigned

Feb 1, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ellie V Ostendorf Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1306118799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4526 CANDLEWOOD PL APT 201",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577020196",
            "telephone_number": "218-820-8674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4526 CANDLEWOOD PL APT 201",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577020196",
            "telephone_number": "218-820-8674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIERKHISING",
        "first_name": "ELLIE",
        "middle_name": "V",
        "credential": "IDMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLIE",
            "last_name": "OSTENDORF",
            "middle_name": "V",
            "credential": "IDMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rocio Isabel Diaz Sanjur, M.D.
• Stephen D Dick, MD
• Milidi Rose Dickenson
• Amanda N Diehl, MD
• Anthony S Diehl, MD
• Christopher T Dietrich, MD
• Jessica Dietz, OTR/L
• Digestive Health Management, Inc.
• Kelly Digmann
• Amanda Dillon

• Independent Duty Medical Technicians in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Independent Duty Medical Technicians in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.