KINTSUGI GROUP PLLC
NPI 1477409829
Dentist - General Practice in Chicago, IL

Q: What is Kintsugi Group PLLC's NPI number?

The NPI number for Kintsugi Group PLLC is 1477409829. It was assigned to this organization in the NPPES registry on March 9, 2026.

Q: What is Kintsugi Group PLLC's specialty?

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

Active since March 09, 2026

1879 N MILWAUKEE AVE STE 1, CHICAGO, IL 60647(312) 429-6506 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kintsugi Group Pllc NPPES

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

KINTSUGI GROUP PLLC (NPI 1477409829) is a healthcare organization registered as a general practice in Chicago, Illinois and active in the NPI registry since March 2026. The organization lists Luis Peralta, Owner, as its authorized official.

NPPES Registry Identity

NPI1477409829

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameKINTSUGI GROUP PLLC

Location Address1879 N MILWAUKEE AVE STE 1Chicago, IL 60647-5689

Mailing Address1879 N Milwaukee Ave Ste 1Chicago, IL 60647-5689 · (312) 429-6506

Phone(312) 429-6506

Organization SubpartNo

Authorized OfficialLuis PeraltaOwner · (917) 742-4608

Enumeration DateMarch 9, 2026

NPPES CertifiedMarch 9, 2026

✔ NPI 1477409829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

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.

1879 N MILWAUKEE AVE STE 1, Chicago, IL 60647

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. LUIS ALBERTO PERALTA DMD

Dentist

1879 N MILWAUKEE AVE STE 1
CHICAGO, IL 60647

Cook County (312) 429-6506

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 Kintsugi Group PLLC's NPI number?

The NPI number for Kintsugi Group PLLC is 1477409829. It was assigned to this organization in the NPPES registry on March 9, 2026.

Where is Kintsugi Group PLLC located?

Kintsugi Group PLLC is located at 1879 N Milwaukee Ave Ste 1, Chicago, IL 60647. The listed phone number is (312) 429-6506.

What is Kintsugi Group PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Kintsugi Group PLLC was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.