COLLIN DAGUE
NPI 1750077525
Student in an Organized Health Care Education/Training Program in Sioux Falls, SD

Active since April 14, 2023PECOS Enrolled
1115 E 20TH ST, SIOUX FALLS, SD 57105(605) 575-1644 Get Directions Write a Review

NPPES record last updated: April 14, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Collin Dague NPPES

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

COLLIN DAGUE (NPI 1750077525) is an individual student in an organized health care education/training program in Sioux Falls, South Dakota and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750077525
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCOLLIN DAGUE
Location Address1115 E 20TH STSioux Falls, SD 57105-1013
Mailing Address1011 Inman StHenning, MN 56551-4204
Sole ProprietorNo
Enumeration DateApril 14, 2023
NPPES CertifiedApril 14, 2023
NPI 1750077525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1115 E 20TH ST, Sioux Falls, SD 57105

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Collin Dague is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Family Medicine
1115 E 20TH ST
SIOUX FALLS, SD 57105
Family Medicine
1115 E 20TH ST
SIOUX FALLS, SD 57105
Family Medicine
1115 E 20TH ST
SIOUX FALLS, SD 57105
Family Medicine
1115 E 20TH ST
SIOUX FALLS, SD 57105
Family Medicine
1115 E 20TH ST
SIOUX FALLS, SD 57105
Family Medicine
1115 E 20TH ST
SIOUX FALLS, SD 57105
Family Medicine
1115 E 20TH ST
SIOUX FALLS, SD 57105
Family Medicine
1115 E 20TH ST
SIOUX FALLS, SD 57105

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750077525, enumerated as an "individual" on April 14, 2023.

The provider is located at 1115 E 20TH ST SIOUX FALLS, SD 57105 and the phone number is (605) 575-1644.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.