In this months' update there were less updates that the previous one. The total number of NPI updates encompasses the following: 139,402 Organization updates, 420,712 individual updates and 14 deactivations. Houston, with 7,220 updates remains the leading city this month. Texas, with 41,737 updates is the new leading state this month from the 281,804 updates of the top ten States. In the last update, California was the leading state with 2,616 updates.