Jacob R. Dinauer, MED, ATC, EMT

Primary specialty

Intermediate Emergency Medical TechnicianTaxonomy code 146M00000X

License

304299 Issued in WI

Practice address

2001 Alford Park Dr
Tarc 1150
Kenosha, WI 53140-1929

Phone

(262) 551-6107

Fax

(262) 551-5995

NPI assigned

Apr 6, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Emergency Medical Technician, Master of Education

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1699737288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3526 W 7 MILE RD",
            "city": "CALEDONIA",
            "state": "WI",
            "postal_code": "531089749",
            "telephone_number": "262-939-6560",
            "fax_number": "262-551-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 ALFORD PARK DR",
            "address_2": "TARC 1150",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531401929",
            "telephone_number": "262-551-6107",
            "fax_number": "262-551-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINAUER",
        "first_name": "JACOB",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "credential": "MED, ATC, EMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146M00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": "WI",
            "license": "304299",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": "103-039",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intermediate Emergency Medical Technician in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Intermediate Emergency Medical Technician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.