The monthly National Plan and Provider Enumeration System(NPPES) database release went down compared to the previous one. NPI database changes in this monthly update have the following details: 20,809 Organization updates, 63,114 individual updates and 0 deactivations. California is the leading state this month with 8,349 updates from the 45,028 updates of the top ten States. Texas follows in second place with 6,247 updates. New York, with 1,133 updates remains the leading city this month from the 7,614 updates of the top ten cities.