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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

WADE BOGGS
NPI 1114824836
Student in an Organized Health Care Education/Training Program in Paragould, AR

Active since October 26, 2026
1300 CLOVER CIR, PARAGOULD, AR 72450(870) 215-7502 Get Directions Write a Review

NPPES record added: October 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Wade Boggs NPPES

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

WADE BOGGS (NPI 1114824836) is an individual student in an organized health care education/training program in Paragould, Arkansas, licensed in Arkansas (PI23902) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1114824836
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameWADE BOGGS
Location Address1300 CLOVER CIRParagould, AR 72450-4883
Mailing Address1300 Clover CirParagould, AR 72450-4883 · (870) 215-7502
Phone(870) 215-7502
Sole ProprietorYes
Enumeration DateOctober 26, 2026
NPPES CertifiedOctober 25, 2026
✔ NPI 1114824836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in AR · PI23902
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.
1300 CLOVER CIR, Paragould, AR 72450
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wade Boggs's NPI number?

The NPI number for Wade Boggs is 1114824836. It was assigned to this individual provider in the NPPES registry on October 26, 2026.

Where is Wade Boggs located?

Wade Boggs practices at 1300 Clover Cir, Paragould, AR 72450. The listed phone number is (870) 215-7502.

What is Wade Boggs's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Wade Boggs was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.