Groundwork

Market rankings · South Dakota

Chiropractors in South Dakota

Markets across South Dakota ranked by the Groundwork market score for chiropractors, with competitor counts and household spending for each.

Listings
371
31 chain locations (8%)
Official establishments
254
+9.0% since 2019
Household spending a year
$512.6M
On medical and dental services
Listings per 10k households
10.1
87% above the U.S.
Spending per listing
$1.4M
42% below the U.S.
Rank among states
#46 of 51
Market score 32 · Lower middle

A site report maps the chiropractors on map listings around any address in South Dakota by name and distance, and the spending within reach.

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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

As of September 2026, map listings count 371 chiropractors in South Dakota. 31 of them (8%) are chain locations, against 8% across the U.S. That is 10.1 per 10,000 households, 87% above the U.S. rate of 5.4.

Households in South Dakota spend about $512.6M a year on medical and dental services, or $1,402 per household, 9% above the U.S. average. That works out to $1.4M per practice, 42% below the U.S. figure of $2.4M. That spending covers all medical and dental services, which chiropractors share with other businesses in the trade.

In 2023, official counts showed 254 businesses with payroll in South Dakota classed as offices of chiropractors, up 9.0% from 2019. That is one for every 1,439 households, against one for every 3,237 across the U.S. Across the U.S., the count rose 0.8% over the same years. Since fiscal 2022, 7 SBA-backed loans worth $1.3M have gone to businesses classed as offices of chiropractors in South Dakota.

Among the 50 states and DC, South Dakota ranks #46 for chiropractors, with a Groundwork market score of 32 (lower middle). Of the 3 scored metro areas in or partly in South Dakota, the Sioux Falls metro area scores highest (38). Of the 7 scored small-town markets in or partly in South Dakota, the Spearfish area scores highest (45).

Every market in South Dakota for chiropractors

Download the ranking (CSV)

Numbered by Groundwork market score among the markets based in South Dakota, highest first; the U.S. rank compares each market with every other of its kind. A metro area that crosses a state line is listed in each state it reaches, and numbered only in the state its page is under. How the score works.

Metro areas

Metro areas reaching South Dakota, ranked for chiropractors by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Sioux Falls, SD-MN3814311.7$1.3M+9.5%#296 of 386
2Rapid City, SD36629.9$1.4M+6.2%#308 of 386
Sioux City, IA-NE-SD245610.1$1.4M+1.0%#371 of 386

Small-town markets

Small-town markets reaching South Dakota, ranked for chiropractors by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Spearfish, SD45119.1$1.5M+14.0%#252 of 426
2Yankton, SD431010.3$1.3M+1.5%#273 of 426
3Brookings, SD381813.0$1M+9.6%#312 of 426
4Watertown, SD351612.8$1M+4.3%#337 of 426
5Pierre, SD3489.4$1.5M−0.5%#344 of 426
6Aberdeen, SD30168.9$1.5M−1.5%#381 of 426
7Mitchell, SD271311.8$1.1M+0.6%#396 of 426
Huron, SDNot scored45.3$2.5M+2.4%
Vermillion, SDNot scored47.2$1.8M+0.2%

Counties

Counties in South Dakota, ranked for chiropractors by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Meade County, SD7454.2$3.4M+2.7%#158 of 1,490
2Lawrence County, SD42119.1$1.5M+14.0%#969 of 1,490
3Minnehaha County, SD409210.8$1.3M+7.6%#1,028 of 1,490
4Lincoln County, SD404415.8$1M+17.5%#1,031 of 1,490
5Yankton County, SD371010.3$1.3M+1.5%#1,106 of 1,490
6Pennington County, SD375411.6$1.2M+6.6%#1,111 of 1,490
7Brookings County, SD351813.0$1M+9.6%#1,160 of 1,490
8Union County, SD331216.4$945K+3.3%#1,216 of 1,490
9Codington County, SD301612.8$1M+4.3%#1,284 of 1,490
10Hughes County, SD2979.7$1.5M−0.9%#1,304 of 1,490
11Brown County, SD24169.8$1.4M−1.7%#1,378 of 1,490
12Davison County, SD211112.4$1.1M+0.6%#1,421 of 1,490
Beadle County, SDNot scored45.3$2.5M+2.4%
Clay County, SDNot scored47.2$1.8M+0.2%
Oglala Lakota County, SDNot scored00.0n/a−2.3%
Lake County, SDNot scored48.5$1.7M−0.2%
Butte County, SDNot scored37.0$2M+5.5%
Roberts County, SDNot scored25.5$2.4M−0.1%
Charles Mix County, SDNot scored413.2$999K−0.5%
Todd County, SDNot scored00.0n/a−4.9%
Custer County, SDNot scored36.7$2.1M+13.2%
Turner County, SDNot scored25.6$2.4M+7.3%
Grant County, SDNot scored619.8$676K0.0%
Hutchinson County, SDNot scored517.2$826K−0.1%
Fall River County, SDNot scored25.5$2.3M+7.1%
Show all 66 counties
Counties in South Dakota, ranked for chiropractors by Groundwork market score, continued
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
Bon Homme County, SDNot scored14.1$3.1M+3.8%
Moody County, SDNot scored311.7$1.2M+4.5%
Hamlin County, SDNot scored14.6$3.2M+11.9%
Spink County, SDNot scored14.0$3.4M−3.0%
McCook County, SDNot scored313.5$1.1M+5.2%
Tripp County, SDNot scored14.4$2.8M+1.8%
Day County, SDNot scored00.0n/a+0.8%
Brule County, SDNot scored210.2$1.3M+0.5%
Walworth County, SDNot scored416.6$767K−1.4%
Kingsbury County, SDNot scored314.2$954K+1.6%
Dewey County, SDNot scored15.9$2.1M+3.8%
Marshall County, SDNot scored212.1$1.2M+2.9%
Deuel County, SDNot scored00.0n/a+2.6%
Edmunds County, SDNot scored00.0n/a+1.0%
Gregory County, SDNot scored318.6$710K+1.1%
Clark County, SDNot scored17.5$1.8M+4.7%
Corson County, SDNot scored00.0n/a−2.8%
Lyman County, SDNot scored00.0n/a−0.1%
Hanson County, SDNot scored217.7$821K−0.3%
Bennett County, SDNot scored00.0n/a−2.6%
Hand County, SDNot scored214.2$969K−0.7%
Stanley County, SDNot scored17.8$1.8M+1.8%
Perkins County, SDNot scored17.6$1.8M+0.9%
Douglas County, SDNot scored18.8$1.7M+1.9%
Jackson County, SDNot scored00.0n/a−4.7%
Aurora County, SDNot scored00.0n/a+2.6%
Potter County, SDNot scored00.0n/a−3.8%
Sanborn County, SDNot scored00.0n/a+2.5%
Ziebach County, SDNot scored00.0n/a−0.1%
Miner County, SDNot scored00.0n/a−0.8%
McPherson County, SDNot scored110.9$1.2M−2.2%
Faulk County, SDNot scored00.0n/a+2.4%
Mellette County, SDNot scored00.0n/a+11.5%
Buffalo County, SDNot scored00.0n/a−6.8%
Jerauld County, SDNot scored00.0n/a+0.6%
Haakon County, SDNot scored114.6$943K−3.6%
Campbell County, SDNot scored113.3$1M−0.1%
Sully County, SDNot scored00.0n/a+1.9%
Hyde County, SDNot scored00.0n/a−4.6%
Harding County, SDNot scored00.0n/a+2.2%
Jones County, SDNot scored00.0n/a−1.5%

Markets with fewer than 5 chiropractors on map listings, and counties under 10,000 people, aren’t scored; they’re listed last in each table.

Questions

How many chiropractors are in South Dakota?

South Dakota has 371 chiropractors on map listings as of September 2026. 31 of them (8%) are chain locations. The listings count chiropractors. Official counts show 254 businesses with payroll classed as offices of chiropractors in 2023, up 9.0% from 2019.

How much do households in South Dakota spend on medical and dental services?

About $512.6M a year, or $1,402 per household. That is 9% above the U.S. average (an index of 109, where 100 is the U.S. average). Spread across the 371 chiropractors on map listings, it comes to $1.4M per practice. The spending figure covers all medical and dental services, not only chiropractors. It is estimated from the incomes of the 365,544 households in South Dakota and national spending patterns by income.

How does South Dakota compare with the U.S. for chiropractors?

South Dakota has 10.1 chiropractors per 10,000 households, 87% above the U.S. rate of 5.4. Spending per practice is $1.4M, 42% below the U.S. figure of $2.4M. At the national ratio of chiropractors to household spending, South Dakota would have about 214, against 371 on map listings. There is one business with payroll in the industry for every 1,439 households, against one for every 3,237 across the U.S. The official count rose 9.0% from 2019 to 2023, against +0.8% for the U.S.

Which market in South Dakota has the highest market score for chiropractors?

Among 3 scored metro areas in or partly in South Dakota, the Sioux Falls metro area scores highest, at 38 (lower middle). Among 7 scored small-town markets in or partly in South Dakota, the Spearfish area scores highest, at 45 (lower middle). Among 12 scored counties in South Dakota, Meade County scores highest, at 74 (upper middle). Scores compare each market with others of its kind across the U.S.

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. South Dakota scores 32 for chiropractors (lower middle), #46 of the 50 states and DC.

How can I see the market around a specific site?

Run a Groundwork site report on an address in South Dakota. 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.

Chiropractors in other states

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Top markets for chiropractors across the U.S. · All business types in South Dakota

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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.