Active NPI
Karissa Handa, DDS, MSD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Henderson, NV
National Provider Identifier
1265924096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- S3-393C
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 106073 | CA | MD | Marriage & Family Therapist |
| S3-393C | NV | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kim Henderson Kids Dentistry PC | Current | Accepting new patients | |
| Magar and Smith Dental Corporation | Past | Accepting new patients | |
| Oweis Union Village Modern Dentistry, PC | General Practice | Past | 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.
-
- Dentist
- Henderson, NV
- NPI 1568153161
-
- General Practice Dentistry
- Henderson, NV
- NPI 1437733243
-
- Dentist
- Huntington Beach, CA
- NPI 1336631811
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.