Courtney Clough, RDH AND OMT

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

2548 N Maize CT Ste 110
Wichita, KS 67205-7348

Phone

(316) 394-0814

NPI assigned

Mar 9, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1773014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1265388664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 E MANTANE ST",
            "address_2": "2620 E. MANTANE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672193063",
            "telephone_number": "316-516-6473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2548 N MAIZE CT STE 110",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672057348",
            "telephone_number": "316-394-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOUGH",
        "first_name": "COURTNEY",
        "credential": "RDH AND OMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-09",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "KS",
            "license": "10848",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Clink, OT
• Kimberley Clothier, PA
• Cody L Cloud
• Mason Lane Cloud
• Melanie Dawn Cloud, LCMFT
• Marla V Clouse, LSCSW
• Michael A Clouse, P.A.
• Tammy K Clouzet, LCPC
• Jacob Lance Cloward, DO
• Jamie Clowers, RPH

• Specialist in Wichita, KS
• Providers in Wichita, KS by specialty
• Specialist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.