Christian Haglund Woodhead, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

50 052304 Issued in NY

Practice address

801 N. Salina St.
Syracuse, NY 13208

Phone

(315) 422-1305

NPI assigned

Aug 22, 2006

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 NY

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

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.

• Syracuse Dental Associates PLLC

  • General Practice Dentistry
  • Syracuse, NY
  • NPI 1962533547
  NPD (past)

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344211200000",
    "number": "1245346147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 11170",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13218",
            "telephone_number": "315-422-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N. SALINA ST.",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13208",
            "telephone_number": "315-422-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODHEAD",
        "first_name": "CHRISTIAN",
        "middle_name": "HAGLUND",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2012-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "50 052304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia F Wood, LCSW
• Tammy Laura Wood
• Tara Marie Wood
• Jessica Woodard, DPT
• Kristin Marie Woodard, M.S.
• Brittany Woodruff, DO
• Joanna Angela Woodruff
• Charles Ira Woods III, M.D.
• Sarah Beth Woods, M.S.
• Stephanie Anne Woodworth, LMSW

• All providers in Syracuse, NY
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; 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.