Katie Lee Woodburn, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12014820A Issued in IN

Practice address

1116 Veterans Pkwy
Clarksville, IN 47129-2370

Phone

(812) 283-1100

NPI assigned

Jun 2, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• John W Ihnen DMD LLC

  • General Practice Dentistry
  • Clarksville, IN
  • NPI 1841519493
  NPD (past)

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

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1295628949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4213 MACHUPE DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402411567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 VETERANS PKWY",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471292370",
            "telephone_number": "812-283-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODBURN",
        "first_name": "KATIE",
        "middle_name": "LEE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12014820A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baylee Wimsatt
• Paula Stacie Wingler, SLP
• Ashlyn Wiseman
• Witham Memorial Hospital
• Taylor Witherspoon, RN
• Tina Marie Woodrome-Nethery, APRN
• Rachel Woodward
• Kelci A Worrall, PHARMD
• Shelby Wright
• Tiara Wynne, RBT

• General Practice Dentistry in Clarksville, IN
• Providers in Clarksville, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.