Individual provider Active NPI

Mark Mullany Molthen, D.C.

  • Rehabilitation Chiropractor
  • Fresno, CA
National Provider Identifier
1003988023
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
DC14161 Issued in CA
Practice address
6042 N Fresno St
101
Fresno, CA 93710-5279
Phone
(559) 224-6754
Fax
(559) 490-0105
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC14161 CA
Rehabilitation Chiropractor 111NR0400X DC14161 CA Primary
Occupational Health Chiropractor 111NX0100X DC14161 CA

Addresses

Primary practice location

6042 N Fresno St
101
Fresno, CA 93710-5279

Mailing address

6042 N Fresno St
101
Fresno, CA 93710-5279
Phone (559) 224-6754

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC14161CAMDOccupational Health Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1003988023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6042 N FRESNO ST",
            "address_2": "101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105279",
            "telephone_number": "559-224-6754",
            "fax_number": "559-490-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6042 N FRESNO ST",
            "address_2": "101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105279",
            "telephone_number": "559-224-6754",
            "fax_number": "559-490-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLTHEN",
        "first_name": "MARK",
        "middle_name": "MULLANY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC14161",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "DC14161",
            "primary": true
        },
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "CA",
            "license": "DC14161",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.