Private Identity LLC

Primary specialty

Health Information Specialist/TechnologistTaxonomy code 246Y00000X

Legal business name

PRIVATE IDENTITY LLC

Doing business as

Private Identity

Practice address

13331 Signal Tree LN
Potomac, MD 20854-6054

Phone

(301) 938-6300

NPI assigned

May 15, 2023

Last updated

May 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael Edward Pollard

Title

Ceo

Phone

(301) 938-6300

Specialties & licenses 1

Addresses

Other names 1

• Private Identity Doing business as

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684454400000",
    "number": "1891486627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13331 SIGNAL TREE LN",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208546054",
            "telephone_number": "301-938-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13331 SIGNAL TREE LN",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208546054",
            "telephone_number": "301-938-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVATE IDENTITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A",
        "authorized_official_last_name": "POLLARD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-938-6300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "246Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Health Information",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Private Identity",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Health Information Specialist/Technologist in Potomac, MD
• Providers in Potomac, MD by specialty
• Health Information Specialist/Technologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.