Individual provider Active NPI

Jaclyn Elizabeth Montag, DDS

  • Dentist
  • Washington, DC
National Provider Identifier
1588598312
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401420070 Issued in VA
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

Updated by the provider on Jun 9, 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 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.

Verify at the official NPI Registry.