Matthew Paul Krutsch, D.D.S.
Individual provider Active NPI General Practice Dentistry · Cold Water, MI
NPI 1700865276 · NPPES record last updated Aug 20, 2026
Key facts
- NPI
- 1700865276
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2901014809 (MI)
- Practice address
- 87 Marshall Street
Cold Water, MI 49036 - Phone
- (517) 278-8289
- Fax
- (517) 278-5742
- NPI assigned
- Jan 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170112000378 | MI | Order and Referring Only - Dentist |
1254612930 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901009004 | MI | MD | General Practice Dentistry |
| 2901014809 | MI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jared S Ellinger DDS PLLC | General Practice | Past |
Accepting new patients |
| Adult and Pediatric Dental Care | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901014809 | MI | Yes |
| 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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.