Groundwork

Health care · County · North Dakota

Chiropractors in Cass County, ND

How Cass County, ND compares with other counties and the U.S. for chiropractors: competitors, household spending, official counts and growth.

Groundwork market score · out of 100

Score 38 out of 100: Lower middle

Ranked #1,086 of 1,490 scored counties
#5 of 10 scored counties in North Dakota

Listings
107
10 chain locations (9%)
Official establishments
60
+9.1% since 2019
Household spending a year
$120.6M
On medical and dental services · $1,437 a household
Spending per listing
$1.1M
53% below the U.S.
Listings per 10k households
12.7
2.4 times the U.S.
Population, 2025
201,794
+9.1% since 2020

See the chiropractors around any address in Cass County

The site report maps the chiropractors on map listings near the address, by name and distance, and sizes the households and spending around it. Or open the report at the center of Cass County. Signed out, you see a blurred preview; on an account, each report is one action.

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Survey estimates 2020–2024 · population estimates 2025 · official business counts 2023 · map listings September 2026 · Data credits · How we measure

What this means

At $1,437 per household (12% above the U.S. average), households in Cass County spend about $120.6M a year on medical and dental services. That works out to $1.1M per practice, 53% below the U.S. figure of $2.4M. The spending figure covers all medical and dental services, not only chiropractors.

Cass County has 107 chiropractors on map listings as of September 2026. 10 of them (9%) are chain locations, against 8% across the U.S. That is 12.7 per 10,000 households, 2.4 times the U.S. rate of 5.4.

In 2023, official counts showed 60 businesses with payroll in Cass County classed as offices of chiropractors, up 9.1% from 2019. That is one for every 1,399 households, against one for every 3,237 across the U.S. Since fiscal 2022, 7 SBA-backed loans worth $1.5M have gone to businesses classed as offices of chiropractors in Cass County.

Between 2020 and 2025, the population of Cass County grew 9.1%, faster than the U.S. (+3.1%). The Groundwork market score for chiropractors in Cass County is 38 (lower middle), #1,086 of 1,490 scored counties and #5 of 10 scored counties in North Dakota.

How Cass County compares

The same measures for North Dakota and the whole U.S. Spending per listing divides a year of household spending on all medical and dental services by the chiropractors counted, so it measures the demand for each competitor, not any business’s revenue. Households per establishment does the same with the official count.

Chiropractors in Cass County, ND compared with North Dakota and the U.S.
MeasureCass CountyNorth DakotaU.S.
Listings per 10k households12.79.55.4
Spending per listing$1.1M$1.5M$2.4M
Households per official establishment1,3991,4033,237
Official establishment growth, 2019–2023+9.1%+10.3%+0.8%
Population growth, 2020–2025+9.1%+2.5%+3.1%
Spending per household on medical and dental services$1,437$1,430$1,288
Median household income$75,555$76,657$80,734
Groundwork market score3828

Official counts and lending

Businesses

Official establishments, 2019 to 2023
55 → 60+9.1% over the period
Employees, 2023
239
Annual payroll, 2023
$9.8M
One-person businesses, 2023
Not publishedNot published for this business type
Map listings, September 2026
10710 chain locations
Listings at the U.S. rate for this spending
50The U.S. ratio of listings to household spending, applied here

SBA-backed loans since fiscal 2022

Loans
7
Amount
$1.5M

SBA-backed loans to businesses classed as offices of chiropractors in Cass County, through June 2026, placed by the borrower’s ZIP code. Official establishments are businesses with payroll; the official counts leave out places with fewer than 3.

Population and households in Cass County

Population, 2025 estimate
201,794+9.1% since 2020
Households
83,945
Median age
34.3
Homes lived in by their owners
52%
Vehicles per household
1.8
Land area
1,765 sq. mi.
People per square mile
110
Median household income
$75,555+17.2% vs. 2015–2019, before inflation
Average household income
$103,789
Median home value
$298,000
Jobs located here
131,603
Daytime population
221,162Residents who don’t work, plus everyone whose job is here

Looking at a specific site in Cass County?

These figures cover the whole county. A site report draws rings around one address and counts what’s inside them: households, spending, jobs, and the chiropractors on map listings by name and distance.

Or open the report at the center of Cass County. Signed out, you see a blurred preview; on an account, each report is one action.

Free10 actions over 3 days, no card

Chiropractors across North Dakota

Every North Dakota market ranked →

The highest-scoring counties in North Dakota for chiropractors, numbered among those based in North Dakota, with Cass County marked.

Top counties in North Dakota

Counties in North Dakota ranked for chiropractors by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Williams County, ND5395.9$2.6M+1.4%#652 of 1,490
2Grand Forks County, ND48216.7$2M+1.9%#810 of 1,490
3Morton County, ND47107.2$2M+3.8%#842 of 1,490
4Burleigh County, ND384611.1$1.4M+4.7%#1,081 of 1,490
5Cass County, ND3810712.7$1.1M+9.1%#1,086 of 1,490
6Richland County, ND28811.7$1.2M+1.2%#1,327 of 1,490
7Ward County, ND26269.1$1.6M−2.4%#1,346 of 1,490
8Stark County, ND242115.5$915K+0.5%#1,387 of 1,490
9Stutsman County, ND231111.7$1.1M−0.6%#1,399 of 1,490
10Barnes County, ND21510.2$1.3M−2.7%#1,417 of 1,490

Other business types in Cass County

Each with its Groundwork market score here, out of 100, where it has one.

Questions

How many chiropractors are in Cass County, ND?

Map listings as of September 2026 show 107 chiropractors in Cass County. 10 of them (9%) are chain locations. The listings count chiropractors. Official counts show 60 businesses with payroll classed as offices of chiropractors in 2023, up 9.1% from 2019.

How much do households in Cass County, ND spend on medical and dental services?

About $120.6M a year, or $1,437 per household. That is 12% above the U.S. average (an index of 112, where 100 is the U.S. average). Spread across the 107 chiropractors on map listings, it comes to $1.1M per practice. That spending covers all medical and dental services, which chiropractors share with other businesses in the trade. It is estimated from the incomes of the 83,945 households in Cass County and national spending patterns by income.

How does Cass County, ND compare with the U.S. for chiropractors?

Cass County has 12.7 chiropractors per 10,000 households, 2.4 times the U.S. rate of 5.4. Spending per practice is $1.1M, 53% below the U.S. figure of $2.4M. At the U.S. ratio of chiropractors to household spending, Cass County would have about 50, against 107 on map listings. There is one business with payroll in the industry for every 1,399 households, against one for every 3,237 across the U.S. The official count rose 9.1% from 2019 to 2023, against +0.8% for the U.S.

How fast is Cass County, ND growing?

Population estimates put Cass County at 201,794 people in 2025, up 9.1% since 2020, faster than the U.S. (+3.1%). It has 83,945 households. The median household income in Cass County is $75,555 a year, 6% below the U.S. median of $80,734. That rose 17.2% from the 2015–2019 survey, before inflation.

What is the Groundwork market score?

The Groundwork market score runs from 0 to 100 and compares a market with others of its kind for one business type: states with states, metro areas with metro areas, small-town markets and counties with their own. It weighs household spending per competitor (35%), households per business with payroll (25%), population growth (20%) and spending power (20%), each ranked against those peers. A higher score means that, taken together, the market has more household spending and more households for each business already there, faster population growth and more spending per household than similar markets. It describes a market, not any one site or deal. Cass County scores 38 for chiropractors (lower middle), #1,086 of 1,490 scored counties.

How can I see the market around a specific site?

Run a Groundwork site report on an address in Cass County. It maps the chiropractors on map listings near the site and sizes the households and spending within the distance you choose. New accounts get 10 actions over 3 days, no card.

How the score works · Top markets for chiropractors · All 56 business types in Cass County

Screening a site or an acquisition in Cass County?

A site report maps the competitors on map listings near an address and sizes the households and spending around it.

The button opens the report at the center of Cass County. Signed out, you see a blurred preview; on an account, each report is one action.

This product uses the Census Bureau Data API but is not endorsed or certified by the Census Bureau.

Figures are estimates for research only. Not investment or real estate advice.