Primal Chiropractic Omro LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PRIMAL CHIROPRACTIC OMRO LLC

Practice address

127 W Main St
Omro, WI 54963-1333

Phone

(317) 506-9609

NPI assigned

Sep 25, 2025

Last updated

Sep 25, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kaci E Chalfant

Title

Owner

Phone

(317) 506-9609

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Trevor Lee Chalfant, DC

  • Chiropractor
  • Omro, WI
  • NPI 1336538859
  NPD

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

{
    "created_epoch": "1758758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1699648634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 S WEBSTER AVE",
            "city": "OMRO",
            "state": "WI",
            "postal_code": "549631641",
            "telephone_number": "317-506-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 W MAIN ST",
            "city": "OMRO",
            "state": "WI",
            "postal_code": "549631333",
            "telephone_number": "317-506-9609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMAL CHIROPRACTIC OMRO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-25",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "CHALFANT",
        "authorized_official_first_name": "KACI",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-506-9609"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omro Chiropractic Office, SC
• Omro Healthcare LLC (Omro Care Center)
• Omro Meds, LLC (Omro Meds)
• Omro Nursing and Rehab, LLC
• Kristin Anne Phillips, PHARMD
• Madelin Pulvermacher, DNP-FNP
• David E Resen, MD
• Lynn M Roelke, RN
• Aryel Ruckdaschel
• Frederick Schellgell, NP

• Chiropractor in Omro, WI
• Providers in Omro, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.