The weekly National Plan and Provider Enumeration System(NPPES) database release have jumped compared to the previous one. NPI database changes in this weekly update have the following details: 3,709 Organization updates, 11,553 individual updates and 203 deactivations. California is the leading state this week with 1,768. New York follows in second place.Houston is the new city with the most updates this week followed by New York. In the last update, New York was the leading city. In the last update, New York was the leading city.