The monthly National Plan and Provider Enumeration System(NPPES) database release went down by 134,512 records. NPI database changes in this monthly update have the following details: 56,963 Organization updates, 365,998 individual updates and 9,497 deactivations. New York, with 6,089 updates remains the leading city this month from the 34,987 updates of the top ten cities. California is the leading state this month with 41,900 updates of the 432,458 updates. New York follows in second place.