Business phone system for chiropractic offices in South Dakota
254 chiropractic offices operated in South Dakota in 2023. Where they are, how big their teams are, and what phone service costs them.
- Establishments
- 254CBP 2023
- Employees
- 857mid-March 2023
- Per 100k residents
- 27.5U.S. 11.7
- State rank
- 37th of 51by count
How many chiropractic offices operate in South Dakota
South Dakota had 254 chiropractic offices in 2023, according to Census County Business Patterns (NAICS 621310, Offices of Chiropractors). They employed 857 people in mid-March and reported $33.7 million in annual payroll. That is the 37th highest count among the 51 states and DC with published figures. Chiropractic offices make up 0.87% of the 29,106 business establishments in the state.
Per 100,000 residents (2024 estimate) South Dakota has 27.5 chiropractic offices, 134.1% above the national rate of 11.7. The average establishment has 3.4 employees against 3.8 nationally. Payroll per employee is $39,279, 2.6% below the U.S. figure of $40,336.
| Measure | South Dakota | United States |
|---|---|---|
| Establishments | 254 | 39,913 |
| Mid-March employees | 857 | 150,066 |
| Annual payroll | $33,662,000 | $6,053,057,000 |
| Employees per establishment | 3.4 | 3.8 |
| Payroll per employee | $39,279 | $40,336 |
| Establishments per 100,000 residents | 27.5 | 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.
South Dakota's largest markets for chiropractic offices
Census published chiropractic office counts for 11 metro or micropolitan areas that include part of South Dakota. The largest is Sioux Falls, SD-MN, with 100 establishments (a multi-state area; its count covers every state it spans). Single-state metro and micropolitan areas account for 39% of the statewide total; the rest are outside any published area or in areas Census suppressed.
| Area | Establishments | Employees | Per 100k residents |
|---|---|---|---|
| Sioux Falls, SD-MN | 100 | 337 | 32.4 |
| Sioux City, IA-NE-SD | 40 | 92 | 27.4 |
| Rapid City, SD | 38 | 135 | 24.3 |
| Aberdeen, SD | 12 | 29 | 28.9 |
| Brookings, SD | 11 | 69 | 30.3 |
| Watertown, SD | 9 | 38 | 30.7 |
| Mitchell, SD | 9 | 34 | 34.9 |
| Spearfish, SD | 8 | 33 | 27.8 |
| Pierre, SD | 6 | — | 29.2 |
| Vermillion, SD | 4 | — | 26.2 |
| Huron, SD | 3 | — | 15.4 |
Source: Census County Business Patterns 2023; population from Census Vintage 2024 estimates.
Team sizes at chiropractic offices in South Dakota
76.4% of South Dakota's chiropractic offices with employees had fewer than five people in March 2023, compared with 72.5% nationally. 94.1% had fewer than ten. That is the size of team where a missed call usually means nobody was free, not that nobody was on staff.
| Employment size | Establishments | Share | U.S. share |
|---|---|---|---|
| 1–4 employees | 194 | 76.4% | 72.5% |
| 5–9 employees | 45 | 17.7% | 21.0% |
| 10–19 employees | 15 | 5.9% | 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.
Calls a chiropractic office in South Dakota has to catch
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 South Dakota might handle in a typical week include:
- An insurer calls to verify a treatment record.
- The office calls patients who missed a scheduled visit.
- An auto-injury patient calls with questions about paperwork.
After-hours calls
Evening callers are usually trying to book or change an appointment, which can wait for a callback if the message is captured accurately.
Callata voicemail is transcribed and triaged for urgency, and business-hours routing decides where calls go once you close.
What a phone system costs a chiropractic office in South Dakota
Chiropractic offices in South Dakota average 3.4 employees, so the comparison uses a 3-person team. Per-seat business phone plans bill every one of those people. At month-to-month list prices checked September 28, 2026, 3 users on RingCentral RingEX Core cost $90.00 a month and 3 on Ooma Office Pro cost $74.85. Callata is $99.00 a month with 5 users included, which is more than either per-seat plan for 3 people; it becomes the lower price at 4 users or more.
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 South Dakota
South Dakota has 1 geographic area code in service according to NANPA. You can choose local numbers in the area codes your patients know, subject to carrier inventory, or port your current number for free.
| Area code | Exchanges | Time zone | In service since | Overlay with |
|---|---|---|---|---|
| 605 | 745 | Central and Mountain | 1947 | 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 South Dakota
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.
If you already have a number in South Dakota, porting it to Callata is free. Texting from a local number requires a one-time carrier registration (10DLC, $49), and the numbers available in any area code depend on carrier inventory when you choose them.
Optional AI agents (receptionist, sales, support or scheduler) can answer calls after hours or when nobody picks up, take messages, text, email and transfer to your team. They are billed from prepaid AI minutes at $0.25 per minute, identify themselves as AI, and may only place outbound calls to people who consented, between 8am and 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 South Dakota?
254 in 2023, according to Census County Business Patterns. They employed 857 people in mid-March.
Which South Dakota metro area has the most chiropractic offices?
Sioux Falls, SD-MN, with 100 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 South Dakota 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.