The weekly National Plan and Provider Enumeration System(NPPES) database release went down by 868 records. NPI database changes in this weekly update have the following details: 3,512 Organization updates, 9,767 individual updates and 384 deactivations. California is the leading state this week with 1,335 updates of the 13,663 updates. Florida follows in second place. Houston, with 144 updates remains the leading city this week from the 1,046 updates of the top ten cities.