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: 3,233 Organization updates, 13,805 individual updates and 204 deactivations. California is the leading state this week with 1,810. New York follows in second place.New York is the new city with the most updates this week followed by Brooklyn. In the last update, Saint Louis was the leading city. In the last update, Saint Louis was the leading city.