Grover Lynn Mallard, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA832 Issued in ID

Practice address

3320 10TH St
Lewiston, ID 83501

Phone

(208) 746-5226

Fax

(208) 746-5268

NPI assigned

Aug 19, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clearwater Chiropractic & Acupuncture PA

  dba Cca

  • Chiropractor
  • Juliaetta, ID
  • NPI 1013723436
  NPD (past)
• Clearwater Chiropractic & Acupuncture PA

  dba Cca

  • Chiropractor
  • Juliaetta, ID
  • NPI 1871761148
  NPD (past)

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1356333702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 10TH ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "83501",
            "telephone_number": "208-746-5226",
            "fax_number": "208-746-5268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 10TH ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "83501",
            "telephone_number": "208-746-5226",
            "fax_number": "208-746-5268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLARD",
        "first_name": "GROVER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malcom Lee Lyons
• Matthew Lysne, M.D.
• Philip N Mackinnon, PH D
• James F Maguire, DO
• Joyce Arlene Majure, M.D.
• Cheryl A Mallory, MD
• William C Mankel, M.D.
• Kelly Manwaring
• Mark R Jones Dba Clearwater Counseling
• Mark R Jones Dba Clearwater Counseling

• Chiropractor in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.