Individual provider Active NPI

McKaila Tillie Santos, DMD

  • Dentist
  • Cary, IL
National Provider Identifier
1134811839
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019034224 Issued in IL
Practice address
412 Crystal St
Cary, IL 60013-2023
Phone
(847) 516-1100
NPI assigned
May 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019034224 IL Primary

Addresses

Primary practice location

412 Crystal St
Cary, IL 60013-2023

Mailing address

412 Crystal St
Cary, IL 60013-2023
Phone (630) 450-0793

Other names 1

  • Dr. McKaila Tillie Santos Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Midwestern University College of Dental Medicine, Downers Grove, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1150 Primrose Dr
Roswell, GA 30076-4217

1325 Bridge Mill Ave
Canton, GA 30114-7762

412 Crystal St
Cary, IL 60013-2023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019034224ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Cary Dental Associates PLLC CurrentSince Mar 3, 2024 Accepting new patients

Locations

412 Crystal St
Cary, IL 60013
Phone (847) 516-1100

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1134811839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 CRYSTAL ST",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600132023",
            "telephone_number": "630-450-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 CRYSTAL ST",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600132023",
            "telephone_number": "847-516-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "MCKAILA",
        "middle_name": "TILLIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019034224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MCKAILA",
            "last_name": "SANTOS",
            "middle_name": "TILLIE",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cary, IL

Sources for this page

Verify at the official NPI Registry.