Individual provider Active NPI

Matthew Paul Krutsch, D.D.S.

  • General Practice Dentistry
  • Coldwater, MI
National Provider Identifier
1700865276
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901014809 Issued in MI
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170112000378 MI Order and Referring Only - DentistPractitioner - Dentist 1254612930

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901009004MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Adult and Pediatric Dental Care General Practice Past Accepting new patients
Jared S Ellinger DDS PLLC General Practice PastSince Mar 16, 2021 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.

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

Verify at the official NPI Registry.