Doyle R. Nick, DDS, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20615 Issued in CA

Legal business name

DOYLE R. NICK, DDS, INC.

Practice address

46900 Monroe St
Suite B201
Indio, CA 92201-4827

Phone

(760) 396-5733

Fax

(760) 396-5723

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Diana Jesson, RN

Title

Administrator

Phone

(760) 396-5733

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Indio Surgery Center Doing business as

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1609090968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46900 MONROE ST STE B201",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922014827",
            "telephone_number": "760-396-5733",
            "fax_number": "760-396-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46900 MONROE ST",
            "address_2": "SUITE B201",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922014827",
            "telephone_number": "760-396-5733",
            "fax_number": "760-396-5723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOYLE R. NICK, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2025-09-02",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "JESSON",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "760-396-5733",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "20615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL PROVIDER NUMBER",
            "identifier": "G93862-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indio Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Devlin Alexander Dizacomo, DPT
• Dolores J. Castro Interpreting Services Sr.
• Berly Rose Domingo
• Stacey K Douwes
• Emily Jean Downing
• Joseph Gerard Doyle, M.D.
• Dr. Javier Rios a Medical Corporation
• Dr. Sabrina Sifter Optometric Corporation
• Elizabeth Claire Dreyer
• Tanja Marie Dsouza, RN

• General Practice Dentistry in Indio, CA
• Providers in Indio, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.