Active NPI
The Premier Life of Anchorage
- Chiropractor
- Anchorage, AK
National Provider Identifier
1093515264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- THE PREMIER LIFE OF ANCHORAGE
- Practice address
- 751 E 36TH Ave Ste 108
Anchorage, AK 99503-4166 - Phone
- (559) 679-4864
- NPI assigned
- Mar 17, 2025
- Last updated
- Mar 25, 2026
- 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. Nathanael Reagan Deitz, DC
- Title
- Owner/Lead Doctor
- Phone
- (907) 646-5552
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
751 E 36TH Ave Ste 108
Anchorage, AK 99503-4166
Mailing address
3212 Muriel PL
Anchorage, AK 99517-2027
Phone (907) 646-5552
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251126003122 | AK | Part B Supplier - Clinic/Group Practice | 3375035223 | Practice locations: Anchorage, AK |
National Provider Directory
National Provider DirectoryLocations
751 E 36th Ave
Ste 108
Anchorage, AK 99503
Phone (559) 679-4864
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Anchorage, AK
- NPI 1487453429
-
- Chiropractor
- Carmel, IN
- NPI 1851710867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742169600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774396800000",
"number": "1093515264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3212 MURIEL PL",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995172027",
"telephone_number": "907-646-5552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 E 36TH AVE STE 108",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995034166",
"telephone_number": "559-679-4864"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE PREMIER LIFE OF ANCHORAGE",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-17",
"last_updated": "2026-03-25",
"certification_date": "2026-03-25",
"status": "A",
"authorized_official_last_name": "DEITZ",
"authorized_official_first_name": "NATHANAEL",
"authorized_official_middle_name": "REAGAN",
"authorized_official_title_or_position": "OWNER/LEAD DOCTOR",
"authorized_official_telephone_number": "907-646-5552",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
- The Libby Group L.L.C.
- The Marietta House
- The Midwives Birth Center
- The Oriental Healing Arts Center LLC
- The Physical Therapy Place, LLC
- The Recovery Zone/ Myobalance LLC
- The Salvation Army (Booth Memorial Youth & Family Services)
- The Salvation Army - Serendipity
- The Salvation Army Booth Memorial Cares for Kids Nursery
- The Salvation Army Booth Memorial Outpatient
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.