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.
| Measure | Hawaii | United States |
|---|---|---|
| Establishments | 105 | 39,913 |
| Mid-March employees | 313 (moderate noise) | 150,066 |
| Annual payroll | $11,859,000 | $6,053,057,000 |
| Employees per establishment | 3.0 | 3.8 |
| Payroll per employee | $37,888 | $40,336 |
| Establishments per 100,000 residents | 7.3 | 11.7 |
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.
| Area | Establishments | Employees | Per 100k residents |
|---|---|---|---|
| Urban Honolulu, HI | 66 | 206 | 6.6 |
| Kahului, HI | 20 | 45 | 12.2 |
| Hilo, HI | 15 | 47 | 7.2 |
| Kapaa, HI | 4 | 15 | 5.4 |
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.
| Employment size | Establishments | Share | U.S. share |
|---|---|---|---|
| 1–4 employees | 82 | 78.1% | 72.5% |
| 5–9 employees | 20 | 19.0% | 21.0% |
| 10–19 employees | 3 | 2.9% | 5.6% |
| 20–49 employees | not published | — | 0.7% |
| 50 or more employees | 0 | 0.0% | 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:
- A new patient with back pain calls to ask about the first visit.
- The office calls patients who missed a scheduled visit.
- An auto-injury patient calls with questions about paperwork.
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.
| Provider (plan) | Pricing basis | Per month | Per 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 code | Exchanges | Time zone | In service since | Overlay with |
|---|---|---|---|---|
| 808 | 693 | — | 1957 | none |
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.