Business phone system for chiropractic offices

Chiropractic offices in the United States

County Business Patterns counted 39,913 chiropractic offices in the U.S. in 2023 (NAICS 621310, Offices of Chiropractors). They employed 150,066 people in mid-March and paid $6.1 billion in annual payroll. The average establishment has 3.8 employees. That is 11.7 establishments for every 100,000 residents.

California has the most (4,182), followed by Florida (2,937), Texas (2,596), and New York (1,814). Relative to population, North Dakota leads with 29.6 per 100,000 residents, and District of Columbia has the fewest at 2.7.

Why the phone matters for chiropractic offices

Chiropractic care usually involves a series of visits, so much of the phone traffic is booking, moving and confirming recurring appointments. A small team that is busy treating patients needs calls answered or captured without interrupting adjustments.

Calls chiropractic offices commonly handle:

• A new patient with back pain calls to ask about the first visit.
• A regular patient calls to move a standing appointment.
• An auto-injury patient calls with questions about paperwork.
• The office calls patients who missed a scheduled visit.
• An insurer calls to verify a treatment record.

Texting and after-hours calls

Text reminders for recurring visits and quick reschedule exchanges suit the repeat-visit rhythm of a chiropractic practice.

Evening callers are usually trying to book or change an appointment, which can wait for a callback if the message is captured accurately.

Practices that handle protected health information should review their own privacy obligations before recording calls, enabling AI summaries or texting appointment details, and keep clinical conversations out of text messages unless their policies allow it.

How big chiropractic offices are

72.5% of U.S. chiropractic offices with employees had fewer than five people in March 2023. 93.5% had fewer than ten. Most phone decisions in this industry are made for small teams, where one shared number and sensible routing matter more than a desk phone per person.

Chiropractic offices by state

Establishment counts for the 51 states (and DC) where Census published a figure, with the rate per 100,000 residents.

Largest metro areas for chiropractic offices

Census published chiropractic office counts for 820 metro and micropolitan areas. The 25 largest:

What a phone system costs a chiropractic office in the U.S.

The average U.S. chiropractic office has 3.8 employees, so the comparison uses a 4-person team. Per-seat business phone plans bill every one of those people. At month-to-month list prices checked September 28, 2026, 4 users on RingCentral RingEX Core cost $120.00 a month and 4 on Ooma Office Pro cost $99.80. Callata comes to $99.00 a month for 4 users ($99 a month with 5 users included, then $20 per additional user), below both.

Over a year, that is $252 less than RingCentral for a chiropractic office in the U.S. of that size. Annual contracts lower some competitors' prices, so compare the plan you would actually sign.

How Callata works for chiropractic offices

Callata is a business phone system priced at $99 a month with 5 users included, then $20 per additional user. Callata Office includes up to 3 local business numbers, unlimited inbound calling, 1,500 pooled outbound US and Canada minutes per user each month, a browser softphone that can also ring your cell, voicemail with transcription, call recording with AI summaries, business-hours routing and E911 on every number.

Texting from a local number requires carrier registration (10DLC), a one-time $49 fee. Porting an existing number is free.

AI agents are optional: an AI receptionist or scheduler can pick up when the team is busy or closed, take a message, send a text or email, or transfer the call. They draw on prepaid AI minutes ($0.25/minute), disclose that they are AI, and outbound AI calls require prior consent and are limited to 8am–9pm.