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Business phone system for chiropractic offices in Hawaii

105 chiropractic offices operated in Hawaii in 2023. Where they are, how big their teams are, and what phone service costs them.

Establishments
105CBP 2023
Employees
313mid-March 2023
Per 100k residents
7.3U.S. 11.7
State rank
47th of 51by count

Chiropractic offices in Hawaii by the numbers

County Business Patterns counts 105 establishments in Hawaii classified as Offices of Chiropractors (NAICS 621310) for 2023. They employed 313 people in mid-March and reported $11.9 million in annual payroll. That is the 47th highest count among the 51 states and DC with published figures. Chiropractic offices make up 0.32% of the 32,911 business establishments in the state.

Per 100,000 residents (2024 estimate) Hawaii has 7.3 chiropractic offices, 38.1% below the national rate of 11.7. The average establishment has 3.0 employees against 3.8 nationally. Payroll per employee is $37,888, 6.1% below the U.S. figure of $40,336.

Chiropractic offices: Hawaii compared with the U.S., 2023
MeasureHawaiiUnited States
Establishments10539,913
Mid-March employees313 (moderate noise)150,066
Annual payroll$11,859,000$6,053,057,000
Employees per establishment3.03.8
Payroll per employee$37,888$40,336
Establishments per 100,000 residents7.311.7

Census County Business Patterns 2023 (mid-March employment; annual payroll). Employees and payroll flagged high-noise are shown but not used in the text. Residents: Census Vintage 2024 estimates.

Where chiropractic offices in Hawaii are concentrated

Census published chiropractic office counts for 4 metro or micropolitan areas that include part of Hawaii. The largest is Urban Honolulu, HI, with 66 establishments. Single-state metro and micropolitan areas account for 100% of the statewide total; the rest are outside any published area or in areas Census suppressed.

Chiropractic offices by metro or micropolitan area, Hawaii, 2023
AreaEstablishmentsEmployeesPer 100k residents
Urban Honolulu, HI662066.6
Kahului, HI204512.2
Hilo, HI15477.2
Kapaa, HI4155.4

Source: Census County Business Patterns 2023; population from Census Vintage 2024 estimates.

Team sizes at chiropractic offices in Hawaii

78.1% of Hawaii's chiropractic offices with employees had fewer than five people in March 2023, compared with 72.5% nationally. 97.1% had fewer than ten. At that size the phone is shared, so routing (who rings, when, and what happens after hours) matters more than the number of desk phones.

Chiropractic offices in Hawaii by employment size, 2023
Employment sizeEstablishmentsShareU.S. share
1–4 employees8278.1%72.5%
5–9 employees2019.0%21.0%
10–19 employees32.9%5.6%
20–49 employeesnot published—0.7%
50 or more employees00.0%0.1%

Employment-size classes count establishments by mid-March 2023 employment. Establishments with no March employees are excluded from the size classes, so shares are of establishments with employees. Source: Census County Business Patterns 2023.

What chiropractic offices in Hawaii use the phone for

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 a chiropractic office in Hawaii might handle in a typical week include:

Business texting for chiropractic offices

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

Texting from a local number in Hawaii requires carrier registration (10DLC), a one-time $49 fee on Callata.

Phone system pricing for a 3-person chiropractic office

Chiropractic offices in Hawaii average 3.0 employees, so the comparison uses a 3-person team. Priced per seat, 3 users would run $90.00 a month on RingCentral RingEX Core and $74.85 on Ooma Office Pro (month-to-month list prices, checked September 28, 2026). Callata costs $99.00 a month ($99 a month with 5 users included, then $20 per additional user), so at this team size both per-seat plans are cheaper; Callata drops below them from 4 users.

At this team size the per-seat plans cost less than Callata's $99 base price, which already covers 5 users; Callata becomes the lower price from 4 users.

Monthly list price for a 3-person chiropractic office
Provider (plan)Pricing basisPer monthPer year
Callata (Callata Office)$99 incl. 5 users, $20 per extra user$99.00$1,188.00
Quo (Starter)$19.00 per user$57.00$684.00
Nextiva (Core)$23.00 per user$69.00$828.00
Ooma (Office Pro)$24.95 per user$74.85$898.20
Dialpad (Standard)$27.00 per user$81.00$972.00
RingCentral (RingEX Core)$30.00 per user$90.00$1,080.00

Competitor prices are each vendor's published month-to-month list price per user for its lowest plan that includes business calling and texting, checked September 28, 2026: Quo Starter $19, Nextiva Core $23, Ooma Office Pro $24.95 (Essentials excludes texting; one-time $29.95 activation not included), Dialpad Standard $27, RingCentral RingEX Core $30 ($20 billed annually). Prices exclude taxes and fees and may change; annual contracts lower some competitors' prices.

Area codes in Hawaii

Hawaii has 1 geographic area code in service according to NANPA. Callata includes up to 3 local numbers, so a chiropractic office can hold a number in more than one of them.

Area codes in Hawaii by assigned exchanges
Area codeExchangesTime zoneIn service sinceOverlay with
808693—1957none

Exchanges are NANPA-assigned central office codes (NPA-NXX) in the rate centers matched to the area's named places. Source: NANPA utilized code and NPA reports.

How Callata works for chiropractic offices in Hawaii

Callata Office costs $99 per month for up to 5 people, and each additional user is $20 a month. That covers up to 3 local numbers, calling from a browser or your cell, transcribed voicemail, recorded calls with AI summaries, after-hours routing and E911 on each number.

Porting a number you already use in Hawaii is free, and business texting is available once the carrier registration (10DLC) is approved; the registration carries a one-time $49 fee. Which specific numbers are open in a given area code depends on carrier inventory at the time you sign up.

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.

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.

Frequently asked questions

How many chiropractic offices are in Hawaii?

105 in 2023, according to Census County Business Patterns. They employed 313 people in mid-March.

Which Hawaii metro area has the most chiropractic offices?

Urban Honolulu, HI, with 66 establishments in 2023.

What does a phone system cost a 3-person chiropractic office?

$90.00 a month on RingCentral RingEX Core or $74.85 on Ooma Office Pro at month-to-month list prices (checked September 28, 2026); $99.00 on Callata ($99 a month with 5 users included, then $20 per additional user).

Do I need to register to text customers from a Hawaii number?

Yes. US carriers require business texting from local numbers to be registered (10DLC). On Callata the registration is a one-time $49 fee, and texting turns on once it is approved.