Individual provider Active NPI

Kaitlyn Haese, DC, MS

  • Chiropractor
  • Eugene, OR
National Provider Identifier
1689113649
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5786 Issued in OR
Practice address
260 E 15TH Ave Ste D
Eugene, OR 97401-4177
Phone
(541) 512-4990
Fax
(541) 897-9960
NPI assigned
Feb 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Chiropractor 111NP0017X 5786 OR
Sports Physician Chiropractor 111NS0005X 5786 OR
Chiropractor 111N00000X 5786 OR Primary

Addresses

Primary practice location

260 E 15TH Ave Ste D
Eugene, OR 97401-4177

Mailing address

1711 Willamette St # 301-308
Eugene, OR 97401-4014
Phone (541) 512-4990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5786ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Restoration Chiropractic LLC Chiropractor CurrentSince Dec 14, 2025 Accepting new patients

Locations

1711 Willamette St
#301308
Eugene, OR 97401

260 E 15th Ave
Ste D
Eugene, OR 97401
Phone (541) 510-8960

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1689113649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 WILLAMETTE ST # 301-308",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014014",
            "telephone_number": "541-512-4990",
            "fax_number": "541-897-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 E 15TH AVE STE D",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014177",
            "telephone_number": "541-512-4990",
            "fax_number": "541-897-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAESE",
        "first_name": "KAITLYN",
        "name_prefix": "Dr.",
        "credential": "DC, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-22",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "OR",
            "license": "5786",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "OR",
            "license": "5786",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.