Clinton Wilson Falk, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

21560 Issued in TX

Practice address

4466 Lockhill Selma Rd Ste 102
San Antonio, TX 78249-2078

Phone

(210) 236-8672

Fax

(210) 236-9716

NPI assigned

Jan 11, 2007

Sex

Male

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clinton W Falk DDS PA

  • Periodontics
  • San Antonio, TX
  • NPI 1417882606
  NPD

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1710037601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4466 LOCKHILL SELMA RD STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492078",
            "telephone_number": "210-236-8672",
            "fax_number": "210-236-9716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4466 LOCKHILL SELMA RD STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492078",
            "telephone_number": "210-236-8672",
            "fax_number": "210-236-9716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALK",
        "first_name": "CLINTON",
        "middle_name": "WILSON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "21560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Falcon, D.D.S.
• Wendy Faldet, RPH
• Amy Diane Faldt, LCSW
• Nancie Johnson Falgout, PTA
• Hailey Collette Falies
• Eric Shawn Falk, R.PH.
• Maria C Falkenberg, WHCNP
• Julian R Falla, MD
• Maverick Gamaliel Faller, PA-C
• Claire Bauerlein Fallin, LPC

• All providers in San Antonio, TX
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.