Individual provider Active NPI

Britney Pichanna Nam, DDS

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1619760840
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
065457 Issued in NY
Practice address
224 W 35TH St FL 16
New York, NY 10001-2529
Phone
(212) 689-0024
NPI assigned
May 28, 2025
Last updated
Jun 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 065457 NY Primary

Addresses

Primary practice location

224 W 35TH St FL 16
New York, NY 10001-2529

Mailing address

515 Oakland Ave
Staten Island, NY 10310-2911
Phone (347) 552-1834

Other practice location 1

120 Nassau Ave
Brooklyn, NY 11222-4024
Phone (347) 560-4540

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
I20250814000796 NY Order and Referring Only - DentistPractitioner - Dentist 1153820543

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ian Pasch DDS PC Past Accepting new patients

Organizations & group practices 1

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": "1748390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1619760840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 OAKLAND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102911",
            "telephone_number": "347-552-1834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 W 35TH ST FL 16",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012529",
            "telephone_number": "212-689-0024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Nassau Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112224024",
            "country_code": "US",
            "telephone_number": "347-560-4540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAM",
        "first_name": "BRITNEY",
        "middle_name": "PICHANNA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-28",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "065457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.