OrganizationActive
Extraordinary Life Chiropractic, LLC
NPI 1790126266 · Clinic/Center · Sandy Spring, GA
Provider details
- NPI number
- 1790126266
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Christopher Perry, President(270) 993-5398
- License
- CHIR009135 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6822 Glenridge Dr Ne
Unit J
Sandy Spring, GA 30328
Phone: (270) 993-5398
Street-level locationGet directions
Mailing address
6822 Glenridge Dr Ne
Sandy Spring, GA 30328
Registry dates
- Enumerated
- 2013-07-12
- Last updated
- 2013-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.