Individual provider Active NPI

Christian Haglund Woodhead, DDS

  • Dentist
  • Fayetteville, NY
National Provider Identifier
1245346147
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
50 052304 Issued in NY
Practice address
7197 Highbridge Rd
Fayetteville, NY 13066
Phone
(315) 637-7684
NPI assigned
Aug 22, 2006
Last updated
Sep 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150722006134 NY Order and Referring Only - DentistPractitioner - Dentist 3870806664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
50 052304NYMDDentist
052304NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.