Individual provider Active NPI

Karissa Handa, DDS, MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Henderson, NV
National Provider Identifier
1265924096
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
S3-393C Issued in NV
Practice address
382 W Lake Mead Pkwy Ste 130
Henderson, NV 89015-7292
Phone
(702) 558-8543
NPI assigned
Jun 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 106073 CA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X S3-393C NV Primary

Addresses

Primary practice location

382 W Lake Mead Pkwy Ste 130
Henderson, NV 89015-7292

Mailing address

1867 Anton Way
Upland, CA 91784-1508
Phone (909) 967-8553

Other practice location 1

1135 Vitality Dr Ste 130
Henderson, NV 89011-4809
Phone (702) 359-7401

Other practice location 2

8035 S Rainbow Blvd Ste 102
Las Vegas, NV 89139-6549
Phone (702) 896-7211

Other names 1

  • Dr. Karissa Burgos Former name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
106073CAMDMarriage & Family Therapist
S3-393CNVMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kim Henderson Kids Dentistry PC CurrentSince Dec 22, 2024 Accepting new patients
Magar and Smith Dental Corporation PastSince Feb 1, 2022 Accepting new patients
Oweis Union Village Modern Dentistry, PC General Practice PastSince May 9, 2021 Accepting new patients

Locations

382 W Lake Mead Pkwy
Ste 130
Henderson, NV 89015
Phone (702) 558-8543

Organizations & group practices 3

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": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1265924096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1867 ANTON WAY",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917841508",
            "telephone_number": "909-967-8553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 W LAKE MEAD PKWY STE 130",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157292",
            "telephone_number": "702-558-8543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1135 Vitality Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890114809",
            "country_code": "US",
            "telephone_number": "702-359-7401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8035 S Rainbow Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891396549",
            "country_code": "US",
            "telephone_number": "702-896-7211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANDA",
        "first_name": "KARISSA",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "106073",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NV",
            "license": "S3-393C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARISSA",
            "last_name": "BURGOS",
            "prefix": "DR.",
            "credential": "DDS, MSD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.