I disagree, I lived a year in a small town near Osaka far from any tourist attractions and never did I wish I had a car. Public transport was ubiquitous and walking infrastructure excellent. Lots of people on bikes. Roads were tiny so cars on them are tiny and driving slowly, making it feel safe to share the roads with them.
Maybe the most clear indication that Japan isn't a car centric culture was the complete lack of FREE parking space.
Japan has 670 cars per 1,000 people, the US has 779. Not a huge gap.
So, yes, the extreme pedestrian hostility that is sometimes normal in the US isn't around, and there's more likely to be a viable transit system. That's especially the case if you're in the outskirts of a major metropolitan area where there are going to be commuters into the core transit network.
Still, if I hop on an express train for an hour away from central Tokyo, every house has a car park and most significant stores have dedicated parking spaces, and I get a vibe of "suburbia with narrower streets". Heck, I get some of that even as close as Kawasaki or southern Tokyo once you're away from major train stations.