1. Home
  2. Directory
  3. Michigan
  4. Detroit
  5. Specialist
  6. NPI Profile

CASSANDRA BOGGON
NPI 1770803496
Specialist in Detroit, MI

Active since June 03, 2010
16203 WYOMING ST, DETROIT, MI 48221(313) 864-2788(866) 267-7903 Get Directions Write a Review

NPPES record last updated: June 3, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cassandra Boggon NPPES

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

CASSANDRA BOGGON (NPI 1770803496) is an individual specialist in Detroit, Michigan, licensed in Michigan (2701115101) and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1770803496
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameCASSANDRA BOGGON
Location Address16203 WYOMING STDetroit, MI 48221-3417
Mailing Address8457 Brace StDetroit, MI 48228-3144 · (734) 334-0208 · Fax (866) 267-7903
Phone(313) 864-2788
Fax(866) 267-7903
Sole ProprietorYes
Enumeration DateJune 3, 2010
✔ NPI 1770803496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MI · 2701115101
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
16203 WYOMING ST, Detroit, MI 48221
Open in Google Maps ↗

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 Cassandra Boggon's NPI number?

The NPI number for Cassandra Boggon is 1770803496. It was assigned to this individual provider in the NPPES registry on June 3, 2010.

Where is Cassandra Boggon located?

Cassandra Boggon practices at 16203 Wyoming St, Detroit, MI 48221. The listed phone number is (313) 864-2788.

What is Cassandra Boggon's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Cassandra Boggon was last updated on June 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.