Active NPI
Extraordinary Life Chiropractic LLC
- Chiropractor
- Owensboro, KY
National Provider Identifier
1619703568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- EXTRAORDINARY LIFE CHIROPRACTIC LLC
- Practice address
- 303 E 14TH St Ste 3
Owensboro, KY 42303-3056 - Phone
- (270) 297-0028
- Fax
- (270) 297-0026
- NPI assigned
- Sep 9, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christopher Lynn Perry, D.C.
- Title
- Owner
- Phone
- (270) 993-5398
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
303 E 14TH St Ste 3
Owensboro, KY 42303-3056
Mailing address
9910 Melba LN
Whitesville, KY 42378-9418
Phone (270) 993-5398
National Provider Directory
National Provider DirectoryLocations
303 E 14th St
Ste 3
Owensboro, KY 42303
Phone (270) 297-0028
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Acworth, GA
- NPI 1578906558
-
- Chiropractor
- Philadelphia, PA
- NPI 1033429543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725840000000",
"number": "1619703568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9910 MELBA LN",
"city": "WHITESVILLE",
"state": "KY",
"postal_code": "423789418",
"telephone_number": "270-993-5398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 E 14TH ST STE 3",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423033056",
"telephone_number": "270-297-0028",
"fax_number": "270-297-0026"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXTRAORDINARY LIFE CHIROPRACTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-09",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A",
"authorized_official_last_name": "PERRY",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "270-993-5398",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owensboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.