Active NPI
Sarah Jaleel Brunelle
- Dentist
- Crescent Springs, KY
National Provider Identifier
1477290773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10754
- Practice address
- 2325 Buttermilk Xing
Crescent Springs, KY 41017-1622 - Phone
- (859) 360-6776
- Fax
- (859) 360-3207
- NPI assigned
- May 18, 2022
- Last updated
- Feb 10, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 10754 | KY | Primary |
Addresses
Primary practice location
2325 Buttermilk Xing
Crescent Springs, KY 41017-1622
Mailing address
2325 Buttermilk Xing
Crescent Springs, KY 41017-1622
Phone (859) 360-6776
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220621001840 | KY | Order and Referring Only - Dentist | 7911386032 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10754 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770681600000",
"number": "1477290773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2325 BUTTERMILK XING",
"city": "CRESCENT SPRINGS",
"state": "KY",
"postal_code": "410171622",
"telephone_number": "859-360-6776",
"fax_number": "859-360-3207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2325 BUTTERMILK XING",
"city": "CRESCENT SPRINGS",
"state": "KY",
"postal_code": "410171622",
"telephone_number": "859-360-6776",
"fax_number": "859-360-3207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNELLE",
"first_name": "SARAH",
"middle_name": "JALEEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-18",
"last_updated": "2026-02-10",
"certification_date": "2026-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "10754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crescent Springs, KY
- Jamie Daniels Bertram, O.D.
- Better Health Chiropractic Care PSC
- Blue Lotus Counseling, LLC
- Ailey L. Blystone
- Jessica Brummer, M.ED, LPATA
- Buc Crescent Springs LLC
- Rebecca Burgard, LCSW
- Buttermilk Chiropractic Center of Crescent Springs, P.S.C. (Buttermilk Chiropractic Center)
- Buttermilk Family and Cosmetic Dentistry
- Gary D. Callioni, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.