Active NPI
Jaclyn Elizabeth Montag, DDS
- Dentist
- Washington, DC
National Provider Identifier
1588598312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401420070
- Practice address
- 2112 F St NW Ste 605
Washington, DC 20037-2762 - Phone
- (202) 466-4530
- NPI assigned
- Jun 9, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401420070 | VA | Primary |
Addresses
Primary practice location
2112 F St NW Ste 605
Washington, DC 20037-2762
Mailing address
2112 F St NW Ste 605
Washington, DC 20037-2762
Phone (202) 466-4530
Other practice location 1
1920 Clarendon Blvd
Arlington, VA 22201-2917
Phone (703) 528-0800
Other practice location 2
6707 Old Dominion Dr Ste 200
Mc Lean, VA 22101-4503
Phone (703) 734-0100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780963200000",
"number": "1588598312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2112 F ST NW STE 605",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200372762",
"telephone_number": "202-466-4530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2112 F ST NW STE 605",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200372762",
"telephone_number": "202-466-4530"
}
],
"practiceLocations": [
{
"address_1": "1920 Clarendon Blvd",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "VA",
"postal_code": "222012917",
"country_code": "US",
"telephone_number": "703-528-0800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6707 Old Dominion Dr Ste 200",
"address_purpose": "LOCATION",
"city": "Mc Lean",
"state": "VA",
"postal_code": "221014503",
"country_code": "US",
"telephone_number": "703-734-0100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONTAG",
"first_name": "JACLYN",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-09",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401420070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.