Active NPI
Mimi Nguyen Rine, DMD
- General Practice Dentistry
- Phoenix, AZ
National Provider Identifier
1033893847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D011828
- Practice address
- 1345 E Chandler Blvd Ste 121
Phoenix, AZ 85048-6280 - Phone
- (480) 460-1911
- NPI assigned
- Jun 12, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D011828 | AZ | Primary |
Addresses
Primary practice location
1345 E Chandler Blvd Ste 121
Phoenix, AZ 85048-6280
Mailing address
3302 N 7TH St Unit 248
Phoenix, AZ 85014-5489
Phone (414) 719-6848
Other names 1
- My Nguyen
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 |
|---|---|---|---|
| D011828 | AZ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dasa Dental PLLC | Past | Accepting new patients | |
| Mark a Espinoza DDS PLLC | Past | Accepting new patients |
Organizations & group practices 2
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
- Phoenix, AZ
- NPI 1083356034
-
- Dental Clinic/Center
- Phoenix, AZ
- NPI 1306312863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1033893847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3302 N 7TH ST UNIT 248",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850145489",
"telephone_number": "414-719-6848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1345 E CHANDLER BLVD STE 121",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850486280",
"telephone_number": "480-460-1911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RINE",
"first_name": "MIMI",
"middle_name": "NGUYEN",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-12",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "D011828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MY",
"last_name": "NGUYEN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.