Amy Elizabeth Clark, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

5696-16 Issued in WI

Practice address

2119 Heights Dr
Eau Claire, WI 54701-6130

Phone

(715) 861-7901

NPI assigned

Oct 12, 2026

Last updated

Oct 12, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1791763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1417852294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 E JACKSON AVE",
            "city": "FALL CREEK",
            "state": "WI",
            "postal_code": "547429505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 HEIGHTS DR",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016130",
            "telephone_number": "715-861-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-12",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "5696-16",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon-Paul William Ciszewski, PA
• City of Eau Claire
• City of Eau Claire (City of Eau Claire Fire & Rescue Dept)
• Michael T Claessens, MD
• Margaret Clancy
• Daniel M Clark, MD
• Mary Beth Clark, SLP
• Clear Water Home Care LLC
• Clear Water Therapy, LLC
• Clearsky Rehabilitation Hospital of Eau Claire LLC

• Dental Hygienist in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Dental Hygienist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.