Individual provider Active NPI

Carol Irene Sayre, AU.D.

  • Audiologist
  • Salem, OR
National Provider Identifier
1700937703
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
21797 Issued in OR
Practice address
2521 Boone Rd SE Ste 120
Salem, OR 97306-9675
Phone
(971) 701-6322
Fax
(971) 915-2689
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 21797 OR
Audiologist 231H00000X 21797 OR Primary

Addresses

Primary practice location

2521 Boone Rd SE Ste 120
Salem, OR 97306-9675

Mailing address

2521 Boone Rd SE Ste 120
Salem, OR 97306-9675
Phone (971) 701-6322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070305000028 OR Practitioner - Qualified Audiologist 6800998261 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21797ORMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Audiology Clinic, Inc Audiologist CurrentSince Feb 5, 2007 Accepting new patients
MLM USA LLC Audiologist PastSince Aug 14, 2025 Accepting new patients

Locations

3857 Wolverine St NE
#16C
Salem, OR 97305
Phone (503) 588-1039

2521 Boone Rd SE
Ste 120
Salem, OR 97306
Phone (971) 701-6322

Organizations & group practices 2

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1700937703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 BOONE RD SE STE 120",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973069675",
            "telephone_number": "971-701-6322",
            "fax_number": "971-915-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 BOONE RD SE STE 120",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973069675",
            "telephone_number": "971-701-6322",
            "fax_number": "971-915-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYRE",
        "first_name": "CAROL",
        "middle_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "OR",
            "license": "21797",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OR",
            "license": "21797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.

Verify at the official NPI Registry.