The weekly National Plan and Provider Enumeration System(NPPES) database release went down compared to the previous one. NPI database changes in this weekly update have the following details: 3,946 Organization updates, 11,643 individual updates and 117 deactivations. New York, with 319 updates remains the leading city this week from the 1,773 updates of the top ten cities. California is the leading state this week with 1,653. New York follows in second place.