Active NPI
Matthew Paul Krutsch, D.D.S.
- General Practice Dentistry
- Coldwater, MI
National Provider Identifier
1700865276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901014809
- Practice address
- 87 Marshall Street
Cold Water, MI 49036 - Phone
- (517) 278-8289
- Fax
- (517) 278-5742
- NPI assigned
- Jan 12, 2006
- Last updated
- Aug 20, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901014809 | MI | Primary |
| General Practice Dentistry | 1223G0001X | 2901009004 | MI |
Addresses
Primary practice location
87 Marshall Street
Cold Water, MI 49036
Mailing address
127 Crauns Beach Dr
Quincy, MI 49082
Phone (517) 617-8289
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- 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 |
|---|---|---|---|---|
| I20170112000378 | MI | Order and Referring Only - Dentist | 1254612930 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901009004 | MI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adult and Pediatric Dental Care | General Practice | Past | Accepting new patients |
| Jared S Ellinger DDS PLLC | General Practice | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Coldwater, MI
- NPI 1144301946
-
dba Adult and Pediatric Dental Care
- General Practice Dentistry
- Coldwater, MI
- NPI 1295310118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1700865276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 CRAUNS BEACH DR",
"city": "QUINCY",
"state": "MI",
"postal_code": "49082",
"telephone_number": "517-617-8289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87 MARSHALL STREET",
"city": "COLD WATER",
"state": "MI",
"postal_code": "49036",
"telephone_number": "517-278-8289",
"fax_number": "517-278-5742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUTSCH",
"first_name": "MATTHEW",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-12",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901014809",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901009004",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coldwater, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.