Individual provider

Jordan Mulder, D.O.

Otolaryngology/Facial Plastic Surgery Physician Medicare enrolled

Jordan Mulder, D.O. is an Otolaryngology/Facial Plastic Surgery Physician in Olympia, WA, registered under NPI 1902054760.

Getting there

The practice address on file is 3920 CAPITAL MALL DR SW STE 100A, Olympia, WA 98502. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

3920 CAPITAL MALL DR SW STE 100A, Olympia, WA 98502 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
OP60262509 WA Otolaryngology/Facial Plastic Surgery… primary

This provider holds licence OP60262509 issued in WA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Otolaryngology
PAC ID
7517135916
Enrollment ID
I20120705000459

Medicare enrolment is recorded as approved under the provider type Practitioner - Otolaryngology. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Otolaryngology/Facial Plastic Surgery covers

An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. NUCC Health Care Provider Taxonomy, code 207YX0905X
Allopathic & Osteopathic Physicians Otolaryngology Otolaryngology/Facial Plastic Surgery

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1902054760 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateSep 5, 2008
Last updatedDec 16, 2019
StatusActive
Sole proprietorNo
CredentialD.O.
Practice address 3920 CAPITAL MALL DR SW STE 100A
Olympia, WA 98502
(360) 704-4745
Fax (360) 704-4746
Mailing address 404B BLACK HILLS LANE SW CAPITAL ENT
Olympia, WA 98502
The last update on file is Dec 16, 2019. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1902054760 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 9 0 2 0 5 4 7 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 9 0 2 0 5 8 7 3

Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1902054760?
NPI 1902054760 is the National Provider Identifier assigned to Jordan Mulder, D.O. in Olympia, WA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Otolaryngology/Facial Plastic Surgery cover?
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
How do I contact Jordan Mulder, D.O.?
The phone number on file with NPPES is (360) 704-4745, last updated Dec 16, 2019. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Jordan Mulder, D.O. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1902054760 a valid number?
Yes. 1902054760 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.