Individual provider Active NPI

Veena Gosai Farmer, DMD

  • General Practice Dentistry
  • Jacksonville, NC
National Provider Identifier
1003300435
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12790 Issued in NC
Practice address
1701 Country Club Rd
Jacksonville, NC 28546-6005
Phone
(910) 346-2345
NPI assigned
Jun 19, 2018
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN23506 FL
General Practice Dentistry 1223G0001X 12790 NC Primary

Addresses

Primary practice location

1701 Country Club Rd
Jacksonville, NC 28546-6005

Mailing address

3445 Henderson Dr
Jacksonville, NC 28546-5233
Phone (910) 347-1283

Other practice location 1

3445 Henderson Dr
Jacksonville, NC 28546-5233
Phone (910) 347-1283

Other names 1

  • Dr. Veena Manhar Gosai Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230119000044 NC Order and Referring Only - DentistPractitioner - Dentist 9436520061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN23506FLMDGeneral Practice Dentistry
12790NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas E & Kimberly M Morgan DDS PA General Practice Past Accepting new patients
Lane and Associates Xliii DDS PA Dentist PastSince Jan 1, 2022 Accepting new patients

Networks

  • TN PPO C-SNP
  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1003300435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 HENDERSON DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465233",
            "telephone_number": "910-347-1283",
            "fax_number": "910-347-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 COUNTRY CLUB RD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466005",
            "telephone_number": "910-346-2345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3445 Henderson Dr",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285465233",
            "country_code": "US",
            "telephone_number": "910-347-1283",
            "fax_number": "910-347-2153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARMER",
        "first_name": "VEENA",
        "middle_name": "GOSAI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN23506",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "12790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VEENA",
            "last_name": "GOSAI",
            "middle_name": "MANHAR",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.