Defy Age Med Spa, PLLC
NPI 1407515141 · Pain Medicine (Anesthesiology) Physician · Conway, AR
Defy Age Med Spa, PLLC is a Pain Medicine (Anesthesiology) Physician organization in Conway, AR (NPI 1407515141).
Provider details
- NPI number
- 1407515141
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Heather Whaley, Owner(501) 554-6005
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-12-09
- Last updated
- 2021-12-09
- Certified
- 2021-12-09
Frequently asked questions
- What is Defy Age Med Spa, PLLC's NPI number?
- Defy Age Med Spa, PLLC's National Provider Identifier (NPI) is 1407515141, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Defy Age Med Spa, PLLC?
- Defy Age Med Spa, PLLC is classified in the NPPES registry as Pain Medicine (Anesthesiology) Physician (Allopathic & Osteopathic Physicians).
- Where is Defy Age Med Spa, PLLC located?
- Defy Age Med Spa, PLLC's practice location on file with NPPES is 2501 Dave Ward Dr Ste A17, Conway, AR 72034-6090.
- What is Defy Age Med Spa, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Defy Age Med Spa, PLLC is (501) 499-9252.
- Who is the authorized official for Defy Age Med Spa, PLLC?
- The authorized official listed on Defy Age Med Spa, PLLC's NPPES record is Heather Whaley, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Defy Age Med Spa, PLLC's NPI active?
- Yes — Defy Age Med Spa, PLLC's NPI (1407515141) is active in the NPPES registry as of the last update on 2021-12-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.