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Cassandra Boggon
NPI 1770803496 · Specialist · Detroit, MI
Cassandra Boggon is a Specialist provider in Detroit, MI (NPI 1770803496).
Provider details
- NPI number
- 1770803496
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2701115101 (MI)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
16203 Wyoming St
Detroit, MI 48221-3417
Phone: (313) 864-2788
Fax: (866) 267-7903
Street-level locationGet directions
Mailing address
8457 Brace St
Detroit, MI 48228-3144
Registry dates
- Enumerated
- 2010-06-03
- Last updated
- 2010-06-03
Frequently asked questions
- What is Cassandra Boggon's NPI number?
- Cassandra Boggon's National Provider Identifier (NPI) is 1770803496, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Cassandra Boggon's specialty?
- Cassandra Boggon is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Cassandra Boggon located?
- Cassandra Boggon's practice location on file with NPPES is 16203 Wyoming St, Detroit, MI 48221-3417.
- What is Cassandra Boggon's phone number?
- The practice phone number listed in the NPPES registry for Cassandra Boggon is (313) 864-2788.
- Is Cassandra Boggon's NPI active?
- Yes — Cassandra Boggon's NPI (1770803496) is active in the NPPES registry as of the last update on 2010-06-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.