Active NPI
Christian Haglund Woodhead, DDS
- Dentist
- Fayetteville, NY
National Provider Identifier
1245346147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 50 052304
- Practice address
- 7197 Highbridge Rd
Fayetteville, NY 13066 - Phone
- (315) 637-7684
- NPI assigned
- Aug 22, 2006
- Last updated
- Sep 21, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 50 052304 | NY | Primary |
Addresses
Primary practice location
7197 Highbridge Rd
Fayetteville, NY 13066
Mailing address
PO Box 11170
Syracuse, NY 13218
Phone (315) 637-7684
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150722006134 | NY | Order and Referring Only - Dentist | 3870806664 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50 052304 | NY | MD | Dentist |
| 052304 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CMP Dental Arts PLLC | Past | Accepting new patients | |
| Syracuse Dental Associates PLLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Highbridge Dental Associates
- General Practice Dentistry
- Fayetteville, NY
- NPI 1205496965
-
- General Practice Dentistry
- Syracuse, NY
- NPI 1962533547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789948800000",
"number": "1245346147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11170",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13218",
"telephone_number": "315-637-7684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7197 HIGHBRIDGE RD",
"city": "FAYETTEVILLE",
"state": "NY",
"postal_code": "13066",
"telephone_number": "315-637-7684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODHEAD",
"first_name": "CHRISTIAN",
"middle_name": "HAGLUND",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2026-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "50 052304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.