DR. MARK DAVID KRULL DDS
NPI 1902397425
Dentist - General Practice in Traverse City, MI

Q: What is Mark Krull's NPI number?

The NPI number for Mark Krull is 1902397425. It was assigned to this individual provider in the NPPES registry on May 21, 2018.

Q: What is Mark Krull's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Mark Krull was last updated on November 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 21, 2018PECOS Enrolled

13300 S WEST BAY SHORE DR STE 1, TRAVERSE CITY, MI 49684(231) 946-0207 Get Directions Write a Review

NPPES record last updated: November 26, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 26, 2019, May 21, 2018 (2 updates tracked since 2018).

On this page

About Dr. Mark David Krull Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK DAVID KRULL DDS (NPI 1902397425) is an individual general practice provider in Traverse City, Michigan, licensed in Michigan (2901022619) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Manistee.

NPPES Registry Identity

NPI1902397425

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MARK DAVID KRULLCredential: DDS

Location Address13300 S WEST BAY SHORE DR STE 1Traverse City, MI 49684-5571

Mailing Address8866 Manhattan NTraverse City, MI 49685-5823 · (231) 218-3944

Phone(231) 946-0207

Sole ProprietorNo

Enumeration DateMay 21, 2018

Last NPPES UpdateNovember 26, 20192 updates tracked since enumeration

✔ NPI 1902397425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MI · 2901022619

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

13300 S WEST BAY SHORE DR STE 1, Traverse City, MI 49684

Open in Google Maps ↗

Secondary Practice Location 1

Location 11500 Caberfae HwyManistee, MI 49660-9200 · Phone (231) 723-8272

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark David Krull Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HARBORSIDE DENTAL PLLC

Dentist (General Practice)

13300 S WEST BAY SHORE DR STE 1
TRAVERSE CITY, MI 49684

Grand Traverse County (231) 946-0207

MARK D. KRULL DDS PLLC

Dentist (General Practice)

13300 S WEST BAY SHORE DR STE 1
TRAVERSE CITY, MI 49684

Grand Traverse County (231) 946-0207

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Krull's NPI number?

The NPI number for Mark Krull is 1902397425. It was assigned to this individual provider in the NPPES registry on May 21, 2018.

Where is Mark Krull located?

Mark Krull practices at 13300 S West Bay Shore Dr Ste 1, Traverse City, MI 49684. The listed phone number is (231) 946-0207.

What is Mark Krull's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Mark Krull enrolled in Medicare?

Yes. Mark Krull is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Krull was last updated on November 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.