AUTHENTIC LIFE CHIROPRACTIC
NPI 1720448079
Chiropractor in Wasilla, AK

Active since February 29, 2016
501 N KNIK ST, WASILLA, AK 99654(907) 414-6800 Get Directions Write a Review

NPPES record last updated: February 29, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Authentic Life Chiropractic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUTHENTIC LIFE CHIROPRACTIC (NPI 1720448079) is a healthcare organization registered as a chiropractor in Wasilla, Alaska and active in the NPI registry since February 2016. The organization lists Lisa Kay Grasman, Registered Agent, as its authorized official.

NPPES Registry Identity

NPI1720448079
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameGRASMAN-MONTGOMERY ENTERPRISES, INC
Location Address501 N KNIK STWasilla, AK 99654-7050
Mailing Address501 N Knik StWasilla, AK 99654-7050 · (907) 414-6800
Organization SubpartYes
Authorized OfficialLisa Kay GrasmanRegistered Agent · (907) 414-6800
Enumeration DateFebruary 29, 2016
✔ NPI 1720448079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in AK · 590
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
501 N KNIK ST, Wasilla, AK 99654

Other Names 1

Doing Business AsAuthentic Life Chiropractic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Authentic Life Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Authentic Life Chiropractic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1205920170
2801 E PALMER WASILLA HWY STE C
Wasilla, AK 99654
(907) 357-3577
2.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grasman-Montgomery Enterprises, Inc's NPI number?

The NPI number for Grasman-Montgomery Enterprises, Inc is 1720448079. It was assigned to this organization in the NPPES registry on February 29, 2016. The provider is doing business as Authentic Life Chiropractic.

Where is Grasman-Montgomery Enterprises, Inc located?

Grasman-Montgomery Enterprises, Inc is located at 501 N Knik St, Wasilla, AK 99654. The listed phone number is (907) 414-6800.

What is Grasman-Montgomery Enterprises, Inc's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Grasman-Montgomery Enterprises, Inc enrolled in Medicare?

Yes. Grasman-Montgomery Enterprises, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Grasman-Montgomery Enterprises, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Grasman-Montgomery Enterprises, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Grasman-Montgomery Enterprises, Inc accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Grasman-Montgomery Enterprises, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Grasman-Montgomery Enterprises, Inc was last updated on February 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.